| Entity Name: | CONGENITAL HEART CARE CENTER OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 05 Oct 2017 (7 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L17000206054 |
| FEI/EIN Number | 81-4612679 |
| Address: | 425 S. HUNT CLUB BLVD STE 1001, APOPKA, FL 32703 |
| Mail Address: | 360 N LAKE SYBELIA DRIVE, MAITLAND, FL 32751 |
| ZIP code: | 32703 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578094629 | 2017-03-21 | 2017-05-11 | 360 N LAKE SYBELIA DR, MAITLAND, FL, 327514720, US | 425 S HUNT CLUB BLVD, STE 1001, APOPKA, FL, 327034947, US | |||||||||||||||||||||||||
|
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| Phone | +1 407-862-1010 |
| Fax | 4078621016 |
Authorized person
| Name | DR. AURELIO REYES II |
| Role | PRESIDENT |
| Phone | 4078621010 |
Taxonomy
| Taxonomy Code | 2080P0202X - Pediatric Cardiology Physician |
| License Number | ME86455 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 005948200 091812 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REYES, AURELIO, II | Agent | 360 N LAKES SYBELIA DR, MAITLAND, FL 32751 |
| Name | Role | Address |
|---|---|---|
| REYES, AURELIO, II | Manager | 360 N LAKE SYBELIA DR, MAITLAND, FL 32751 |
| Name | Role | Address |
|---|---|---|
| REYES, AURELIO, II | President | 360 N LAKE SYBELIA DR, MAITLAND, FL 32751 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CONVERSION | 2017-10-05 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P16000094234. CONVERSION NUMBER 500000174915 |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J20000091237 | ACTIVE | 1000000856231 | ORANGE | 2020-01-21 | 2030-02-12 | $ 565.06 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J19000457125 | ACTIVE | 1000000830267 | SEMINOLE | 2019-06-17 | 2029-07-03 | $ 967.02 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J19000135705 | LAPSED | CACE 19-003790 | BROWARD COUNTY CIRCUIT COURT | 2018-11-13 | 2024-02-27 | $196,337.11 | PHILIPS MEDICAL CAPITAL, LLC, 1111 OLD EAGLE SCHOOL ROAD, WAYNE, PA 19087 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-04-27 |
| Florida Limited Liability | 2017-10-05 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
