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PREMIER CARDIOVASCULAR CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: PREMIER CARDIOVASCULAR CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 27 Aug 2020 (5 years ago)
Date of dissolution: 27 Sep 2024 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (a year ago)
Document Number: L20000267216
FEI/EIN Number 30-1227575
Address: 450 W. STATE ROAD 434, SUITE 2010, LONGWOOD, FL, 32750, US
Mail Address: 450 W. STATE ROAD 434, SUITE 2010, LONGWOOD, FL, 32750, US
ZIP code: 32750
City: Longwood
County: Seminole
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
AHMAR WASIM Managing Member 450 W. STATE ROAD 434, SUITE 2010, LONGWOOD, FL, 32750
SKAMBIS CHRISTOPHER C Agent 720 RUGBY STREET, ORLANDO, FL, 32804

National Provider Identifier

NPI Number:
1437765443
Certification Date:
2020-09-08

Authorized Person:

Name:
ANDY JORDAN
Role:
CREDENTIALING COORDINATOR
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -

Documents

Name Date
ANNUAL REPORT 2023-01-10
ANNUAL REPORT 2022-01-17
ANNUAL REPORT 2021-01-28
Florida Limited Liability 2020-08-27

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Date of last update: 02 Aug 2025

Sources: Florida Department of State