| Entity Name: | ADVANCED ENDOVASCULAR INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Sep 2020 (4 years ago) |
| Document Number: | L20000285925 |
| FEI/EIN Number | 85-3088588 |
| Address: | 209 PINEHURST POINTE DR, SAINT AUGUSTINE, FL, 32092 |
| Mail Address: | 209 PINEHURST POINTE DR, SAINT AUGUSTINE, FL, 32092 |
| ZIP code: | 32092 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497361943 | 2020-09-21 | 2021-04-09 | 209 PINEHURST POINTE DR, SAINT AUGUSTINE, FL, 320923703, US | 1301 PLANTATION ISLAND DR S STE 401A, ST AUGUSTINE, FL, 320803118, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 386-232-9203 |
| Fax | 3862223064 |
Authorized person
| Name | IMRAAN ANSAARIE |
| Role | OWNER |
| Phone | 3862329203 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CLUKEY & TEBAULT, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| ANSAARIE IMRAAN | Authorized Member | 209 PINEHURST POINTE DR, SAINT AUGUSTINE, FL, 32092 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-22 |
| Florida Limited Liability | 2020-09-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
