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SOUTH FLORIDA CARDIOLOGY ASSOCIATES, LLC - Florida Company Profile

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Company Details

Entity Name: SOUTH FLORIDA CARDIOLOGY ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Aug 2021 (4 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 08 Dec 2022 (3 years ago)
Document Number: L21000368911
FEI/EIN Number 65-0270114
Address: 500 West Main Street, Louisville, KY, 40202, US
Mail Address: 500 West Main Street, Louisville, KY, 40202, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
Diamond Susan M Chief Financial Officer 500 West Main Street, Louisville, KY, 40202
Adkins Matt Vice President 500 West Main Street, Louisville, KY, 40202
Buckingham Renee J President 500 West Main Street, Louisville, KY, 40202
Buckingham Renee J Manager 500 West Main Street, Louisville, KY, 40202
Diamond Susan M Manager 500 West Main Street, Louisville, KY, 40202
Ruschell Joseph M Manager 500 West Main Street, Louisville, KY, 40202

National Provider Identifier

NPI Number:
1477207819
Certification Date:
2024-06-13

Authorized Person:

Name:
ALICIA LEDO
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
332900000X - Non-Pharmacy Dispensing Site
Is Primary:
Yes

Contacts:

Fax:
9526532540

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-05-01 500 West Main Street, Louisville, KY 40202 -
CHANGE OF MAILING ADDRESS 2024-05-01 500 West Main Street, Louisville, KY 40202 -
REINSTATEMENT 2022-12-08 - -
REGISTERED AGENT ADDRESS CHANGED 2022-12-08 1200 South Pine Island Road, Plantation, FL 33324 -
REGISTERED AGENT NAME CHANGED 2022-12-08 C T Corporation System -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
CONVERSION 2021-08-17 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS S62936. CONVERSION NUMBER 100000216981

Documents

Name Date
AMENDED ANNUAL REPORT 2024-09-24
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-05-01
REINSTATEMENT 2022-12-08
Florida Limited Liability 2021-08-17

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Date of last update: 01 Jul 2025

Sources: Florida Department of State