| Entity Name: | FLORIDA ENDOVASCULAR AND INTERVENTIONAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 May 2016 (9 years ago) |
| Document Number: | L16000092503 |
| FEI/EIN Number | 81-2614180 |
| Address: | 15600 N.W. 67TH AVENUE, SUITE 101, MIAMI LAKES, FL 33014 |
| Mail Address: | 15600 NW 67 AVE, SUITE 101, MIAMI LAKES, FL 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801243209 | 2016-05-16 | 2016-05-16 | 15600 NW 67TH AVE, SUITE 101, MIAMI LAKES, FL, 330142174, US | 15600 NW 67TH AVE, SUITE 101, MIAMI LAKES, FL, 330142174, US | |||||||||||||
|
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| Phone | +1 954-805-3764 |
Authorized person
| Name | DR. CURTIS L ANDERSON |
| Role | MEDICAL DIRECTOR |
| Phone | 9548053764 |
Taxonomy
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CLAYTON, PETER | Agent | 7867 NORTH KENDALL DRIVE, SUITE 130, MIAMI, FL 33156 |
| Name | Role |
|---|---|
| FLYING FISH HOLDINGS, LLC | Authorized Member |
| VASCULAR AND SPINE INSTITUTE, INC. | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-09-09 | 15600 N.W. 67TH AVENUE, SUITE 101, MIAMI LAKES, FL 33014 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-19 | 7867 NORTH KENDALL DRIVE, SUITE 130, MIAMI, FL 33156 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-09-18 | 15600 N.W. 67TH AVENUE, SUITE 101, MIAMI LAKES, FL 33014 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-09 |
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-02-13 |
| ANNUAL REPORT | 2017-03-24 |
| Florida Limited Liability | 2016-05-11 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
