| Entity Name: | FLORIDA CV ALLIANCE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Jan 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Oct 2022 (2 years ago) |
| Document Number: | L18000010139 |
| FEI/EIN Number | 83-2799988 |
| Address: | 7323 GREEN SLOPE DRIVE, ZEPHYRHILLIS, FL 33541 |
| Mail Address: | 7323 GREEN SLOPE DRIVE, ZEPHYRHILLIS, FL 33541 |
| ZIP code: | 33541 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376122556 | 2021-04-06 | 2021-04-06 | 14100 FIVAY RD STE 130, HUDSON, FL, 346677159, US | 14100 FIVAY RD STE 130, HUDSON, FL, 346677159, US | |||||||||||||||||||||
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| Phone | +1 727-255-0920 |
| Fax | 7272555560 |
Authorized person
| Name | DR. VINOD RAXWAL |
| Role | OWNER |
| Phone | 7272550920 |
Taxonomy
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000278100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Raxwal, Vinod | Agent | 7323 GREEN SLOPE DR, ZEPHYRHILLIS, FL 33541 |
| Name | Role | Address |
|---|---|---|
| RAXWAL, VINOD | Manager | 7323 GREEN SLOPE DR, ZEPHYRHILLIS, FL 33541 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-10-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-14 | Raxwal, Vinod | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-09 |
| AMENDED ANNUAL REPORT | 2022-12-18 |
| REINSTATEMENT | 2022-10-14 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-05-13 |
| Florida Limited Liability | 2018-01-11 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
