| Entity Name: | CENTRAL FLORIDA CARDIOVASCULAR IMAGING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Nov 2017 (7 years ago) |
| Document Number: | L17000229430 |
| FEI/EIN Number | 82-3382535 |
| Address: | 1717 MAYO DRIVE, TAVARES, FL, 32778, US |
| Mail Address: | 1691 MAYO DRIVE, TAVARES, FL, 32778 |
| ZIP code: | 32778 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083486518 | 2023-10-27 | 2023-10-27 | 1691 MAYO DR, TAVARES, FL, 327784301, US | 1717 MAYO DR, TAVARES, FL, 327784307, US | |||||||||||||||
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| Phone | +1 352-253-0003 |
| Fax | 3522530016 |
Authorized person
| Name | KEHINDE A LAYENI |
| Role | OWNER |
| Phone | 3522530003 |
Taxonomy
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAYENI KEHINDE | Agent | 1691 MAYO DRIVE, TAVARES, FL, 32778 |
| Name | Role | Address |
|---|---|---|
| LAYENI KEHINDE | Manager | 1691 MAYO DRIVE, TAVARES, FL, 32778 |
| SALAMI SULE S | Manager | 1691 MAYO DRIVE, TAVARES, FL, 32778 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-14 | 1717 MAYO DRIVE, TAVARES, FL 32778 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-05-24 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-03-29 |
| ANNUAL REPORT | 2018-04-30 |
| Florida Limited Liability | 2017-11-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
