| Entity Name: | CARDIOVASCULAR SOLUTIONS INSTITUTE OUTPATIENT SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Nov 2018 (6 years ago) |
| Document Number: | L18000275224 |
| FEI/EIN Number | 83-2712099 |
| Address: | 2210 61ST ST W, BRADENTON, FL, 34209, US |
| Mail Address: | 2210 61ST ST W, BRADENTON, FL, 34209, US |
| ZIP code: | 34209 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487125035 | 2018-12-07 | 2024-09-24 | 2210 61ST ST W, BRADENTON, FL, 342095527, US | 2210 61ST ST W, BRADENTON, FL, 342095527, US | |||||||||||||||||||
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| Phone | +1 941-747-8789 |
Authorized person
| Name | GINO J SEDILLO |
| Role | OWNER |
| Phone | 9417478789 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PROVIDER NUMBER |
| Number | FJ639A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SEDILLO GINO | Agent | 2210 61ST ST W, BRADENTON, FL, 34209 |
| Name | Role | Address |
|---|---|---|
| SEDILLO GINO | Manager | 130 RIVIERA DUNES WAY PH201, PALMETTO, FL, 34221 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-03 | 2210 61ST ST W, BRADENTON, FL 34209 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-03 | 2210 61ST ST W, BRADENTON, FL 34209 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-03 | SEDILLO, GINO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-03 | 2210 61ST ST W, BRADENTON, FL 34209 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-03-25 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-04-18 |
| Florida Limited Liability | 2018-11-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
