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PREMIER CARDIOVASCULAR INSTITUTE LLC

Company Details

Entity Name: PREMIER CARDIOVASCULAR INSTITUTE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 20 Apr 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: L17000088427
FEI/EIN Number 82-1252601
Address: 1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159
Mail Address: 1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159
ZIP code: 32159
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730614371 2017-04-20 2017-04-20 1580 SANTA BARBARA BLVD, THE VILLAGES, FL, 321596827, US 1580 SANTA BARBARA BLVD, THE VILLAGES, FL, 321596827, US

Contacts

Phone +1 352-259-2159
Fax 3522595731

Authorized person

Name DINESH KHANNA
Role PRESIDENT
Phone 3522592159

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary Yes

Agent

Name Role Address
KHANNA, SEEMA Agent 1580 SANATA BARBARA BLVD, THE VILLAGES, FL 32159

Manager

Name Role Address
KHANNA, DINESH Manager 1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2018-01-23
Florida Limited Liability 2017-04-20

Date of last update: 19 Jan 2025

Sources: Florida Department of State