| Entity Name: | FLORIDA VASCULAR SPECIALISTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Jun 2021 (4 years ago) |
| Document Number: | L21000252311 |
| FEI/EIN Number | 87-1071629 |
| Address: | 5846 S Flamingo Rd #315, COOPER CITY, FL, 33330, US |
| Mail Address: | 5846 S Flamingo Rd #315, COOPER CITY, FL, 33330, US |
| ZIP code: | 33330 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033823554 | 2023-01-09 | 2024-05-07 | 5846 S FLAMINGO RD # 315, COOPER CITY, FL, 333303237, US | 3 SW 129TH AVE STE 101-102, PEMBROKE PINES, FL, 330271775, US | |||||||||||||||
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| Phone | +1 954-852-3831 |
| Fax | 9548523832 |
Authorized person
| Name | SRINIVAS TUMMALA |
| Role | OWNER |
| Phone | 9548523831 |
Taxonomy
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| JOEL FRIEND AND ASSOCIATES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| TUMMALA SRINIVAS | Manager | 5846 S Flamingo Rd #315, COOPER CITY, FL, 33330 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-12-04 | 5846 S Flamingo Rd #315, COOPER CITY, FL 33330 | No data |
| CHANGE OF MAILING ADDRESS | 2021-12-04 | 5846 S Flamingo Rd #315, COOPER CITY, FL 33330 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-04-09 |
| Florida Limited Liability | 2021-06-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
