| Entity Name: | PREMIER CARDIOVASCULAR CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 27 Aug 2020 (4 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L20000267216 |
| FEI/EIN Number | 30-1227575 |
| Address: | 450 W. STATE ROAD 434, SUITE 2010, LONGWOOD, FL 32750 |
| Mail Address: | 450 W. STATE ROAD 434, SUITE 2010, LONGWOOD, FL 32750 |
| ZIP code: | 32750 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437765443 | 2020-09-16 | 2020-09-16 | 450 W STATE ROAD 434 STE 2010, LONGWOOD, FL, 327505187, US | 450 W STATE ROAD 434 STE 2010, LONGWOOD, FL, 327505187, US | |||||||||||||
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| Phone | +1 407-767-8200 |
Authorized person
| Name | ANDY JORDAN |
| Role | CREDENTIALING COORDINATOR |
| Phone | 3212068100 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SKAMBIS, CHRISTOPHER C | Agent | 720 RUGBY STREET, SUITE 120, ORLANDO, FL 32804 |
| Name | Role | Address |
|---|---|---|
| AHMAR, WASIM | Managing Member | 450 W. STATE ROAD 434, SUITE 2010, LONGWOOD, FL 32750 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-01-17 |
| ANNUAL REPORT | 2021-01-28 |
| Florida Limited Liability | 2020-08-27 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
