| Entity Name: | KEY WEST VASCULAR INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
KEY WEST VASCULAR INSTITUTE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 13 Mar 2017 (8 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L17000057927 |
| FEI/EIN Number |
82-0860654
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1111 12TH STREET, SUITE 210, KEY WEST, FL, 33040 |
| Mail Address: | 1111 12TH STREET, SUITE 210, KEY WEST, FL, 33040 |
| ZIP code: | 33040 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093230963 | 2017-08-11 | 2017-08-11 | 50 NW 15TH ST STE 101, HOMESTEAD, FL, 330304267, US | 3414 DUCK AVE UNIT 8, KEY WEST, FL, 330404427, US | |||||||||||||||||||
|
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| Phone | +1 305-206-1157 |
Authorized person
| Name | RACHELLE THEODORE |
| Role | BUSINESS CONSULTANT |
| Phone | 4079140003 |
Taxonomy
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 125598001 |
| State | AR |
| Name | Role | Address |
|---|---|---|
| BUTKA STEPHANIE | Manager | 16422 SW 94TH ST, MIAMI, FL, 33196 |
| BUTKA STEPHANIE | Agent | 16422 SW 94TH ST, MIAMI, FL, 33196 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-12-01 | 1111 12TH STREET, SUITE 210, KEY WEST, FL 33040 | - |
| CHANGE OF MAILING ADDRESS | 2025-12-01 | 1111 12TH STREET, SUITE 210, KEY WEST, FL 33040 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-29 |
| Florida Limited Liability | 2017-03-13 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
