| Entity Name: | MOUNT SINAI VASCULAR INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Mar 2021 (4 years ago) |
| Document Number: | L21000126503 |
| FEI/EIN Number | 86-3355115 |
| Address: | 4300 ALTON ROAD, WARNER BUILDING FIFTH FLOOR, MIAMI BEACH, FL, 33140, US |
| Mail Address: | 4300 ALTON ROAD, WARNER BUILDING FIFTH FLOOR, MIAMI BEACH, FL, 33140, US |
| ZIP code: | 33140 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336997337 | 2024-05-07 | 2024-05-07 | PO BOX 527227, MIAMI, FL, 331527227, US | 1684 NE MIAMI GARDENS DR, NORTH MIAMI BEACH, FL, 331794900, US | |||||||||||||
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| Phone | +1 305-674-2906 |
Authorized person
| Name | WAYNE CHUTKAN |
| Role | SR VP OF FINANCE |
| Phone | 3056742121 |
Taxonomy
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| YAP VALERIE | Agent | 4300 ALTON ROAD, MIAMI BEACH, FL, 33140 |
| Name | Role |
|---|---|
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. | Managing Member |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-04-05 |
| Florida Limited Liability | 2021-03-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
