| Entity Name: | SOUTH FLORIDA CARDIOLOGY ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Aug 2021 (3 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Dec 2022 (2 years ago) |
| Document Number: | L21000368911 |
| FEI/EIN Number | 65-0270114 |
| Address: | 500 West Main Street, Louisville, KY 40202 |
| Mail Address: | 500 West Main Street, Louisville, KY 40202 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477207819 | 2022-02-04 | 2024-06-13 | 6101 BLUE LAGOON DR STE 200, MIAMI, FL, 331263168, US | 1700 79TH STREET CSWY STE 120, NORTH BAY VILLAGE, FL, 331414197, US | |||||||||||||||||
|
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| Phone | +1 305-500-2000 |
| Phone | +1 952-653-2525 |
| Fax | 9526532540 |
Authorized person
| Name | ALICIA LEDO |
| Role | DIRECTOR |
| Phone | 3056729989 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Buckingham, Renee Jacqueline | Manager | 500 West Main Street, Louisville, KY 40202 |
| Diamond, Susan Marie | Manager | 500 West Main Street, Louisville, KY 40202 |
| Ruschell, Joseph Matthew | Manager | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Diamond, Susan Marie | Chief Financial Officer | 500 West Main Street, Louisville, KY 40202 |
| Lindsay-Jones, Richard | Chief Financial Officer | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Adkins, Matt | Vice President | 500 West Main Street, Louisville, KY 40202 |
| Lindsay-Jones, Richard | Vice President | 500 West Main Street, Louisville, KY 40202 |
| Morrell, Joshua | Vice President | 500 West Main Street, Louisville, KY 40202 |
| Pabo, Erika | Vice President | 500 West Main Street, Louisville, KY 40202 |
| Ruschell, Joseph Matthew | Vice President | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Adkins, Matt | Integration | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Adkins, Matt | Transformation | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Buckingham, Renee Jacqueline | President | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Edwards, Douglas Allen | Senior Vice President | 500 West Main Street, Louisville, KY 40202 |
| Garg, Vivek, M.D. | Senior Vice President | 500 West Main Street, Louisville, KY 40202 |
| Greenfield-LaTour, Cheri | Senior Vice President | 500 West Main Street, Louisville, KY 40202 |
| Meriwether, Kevin | Senior Vice President | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Edwards, Douglas Allen | Enterprise Associate | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Edwards, Douglas Allen | Business Solutions | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Feld, Daniel Kevin | Associate VP | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Feld, Daniel Kevin | Tax | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Garg, Vivek, M.D. | Chief Medical Officer | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Garg, Vivek, M.D. | Care Delivery | 500 West Main Street, Louisville, KY 40202 |
| Greenfield-LaTour, Cheri | Care Delivery | 500 West Main Street, Louisville, KY 40202 |
| Meriwether, Kevin | Care Delivery | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Greenfield-LaTour, Cheri | Division President | 500 West Main Street, Louisville, KY 40202 |
| Meriwether, Kevin | Division President | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Lindsay-Jones, Richard | Primary Care Organization | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Marcoux, Robert Martin, Jr. | Vice President and Treasurer | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Morrell, Joshua | Population Health Analytics and Utilization Management Services | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Pabo, Erika | Primary Care Transformation | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Ruschell, Joseph Matthew | Associate General Counsel and Corporate Secretary | 500 West Main Street, Louisville, KY 40202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-01 | 500 West Main Street, Louisville, KY 40202 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-01 | 500 West Main Street, Louisville, KY 40202 | No data |
| REINSTATEMENT | 2022-12-08 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-12-08 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-12-08 | C T Corporation System | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CONVERSION | 2021-08-17 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS S62936. CONVERSION NUMBER 100000216981 |
| 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 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
