| Entity Name: | PALM VASCULAR CENTER OF CORAL GABLES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Mar 2018 (7 years ago) |
| Document Number: | L18000077369 |
| FEI/EIN Number | 83-0965710 |
| Address: | 2601 SW 37th Ave, SUITE 704, Miami, FL, 33133, UN |
| Mail Address: | 3107 STIRLING ROAD, SUITE 102, FORT LAUDERDALE, FL, 33312, UN |
| ZIP code: | 33133 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164181533 | 2021-12-14 | 2021-12-14 | 2601 SW 37TH AVE STE 704, CORAL GABLES, FL, 331332750, US | 2601 SW 37TH AVE STE 704, CORAL GABLES, FL, 331332750, US | |||||||||||||||
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| Phone | +1 305-716-8225 |
| Fax | 3057168234 |
Authorized person
| Name | ERIC ROGERS |
| Role | CEO |
| Phone | 3057168225 |
Taxonomy
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LASRIS HEALTH LAW CENTER, PA | Agent |
| Name | Role | Address |
|---|---|---|
| FLORIDA FOOT AND ANKLE ASSOCIATES | Authorized Member | 8200 NW 27TH STREET, DORAL, FL, 33122 |
| Name | Role |
|---|---|
| PALM MEDICAL HOLDINGS, LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-05-04 | LASRIS HEALTH LAW CENTER PA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-04 | 7805 SW 6th Court, Plantation, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-25 | 2601 SW 37th Ave, SUITE 704, Miami, FL 33133 UN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-05-04 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-02-25 |
| Florida Limited Liability | 2018-03-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
