| Entity Name: | FENIX VASCULAR LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Nov 2019 (5 years ago) |
| Document Number: | L19000276859 |
| FEI/EIN Number | 84-3838870 |
| Address: | 4835 Hollywood Blvd, HOLLYWOOD, FL, 33021, US |
| Mail Address: | 4835 Hollywood Blvd, HOLLYWOOD, FL, 33021, US |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962154500 | 2022-01-25 | 2022-01-25 | 4835 HOLLYWOOD BLVD, HOLLYWOOD, FL, 330216548, US | 4835 HOLLYWOOD BLVD, HOLLYWOOD, FL, 330216548, US | |||||||||||||||
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| Phone | +1 713-703-5255 |
| Fax | 9549081278 |
Authorized person
| Name | DR. AURORA LUNA |
| Role | MBR, MD, OWNER |
| Phone | 7137035255 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ WIFREDO | Agent | 4835 Hollywood Blvd, HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ WIFREDO | Authorized Member | 4835 Hollywood Blvd, HOLLYWOOD, FL, 33021 |
| LUNA AURORA | Authorized Member | 4835 Hollywood Blvd, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-16 | 4835 Hollywood Blvd, Suite 3, HOLLYWOOD, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-27 | 4835 Hollywood Blvd, Suite 3, HOLLYWOOD, FL 33021 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-27 | 4835 Hollywood Blvd, HOLLYWOOD, FL 33021 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-18 |
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-08-22 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-01-15 |
| Florida Limited Liability | 2019-11-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
