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ATLANTIC RETINA CONSULTANTS LLC - Florida Company Profile

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Company Details

Entity Name: ATLANTIC RETINA CONSULTANTS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Aug 2021 (4 years ago)
Document Number: L21000386532
FEI/EIN Number 87-4384675
Address: 175 E NASA BLVD, 201, MELBOURNE, FL, 32901, US
Mail Address: 175 E. Nasa Blvd, Suite 201, Melbourne, FL, 32901, US
ZIP code: 32901
City: Melbourne
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GANIBAN GARY Authorized Member 9900 S TROPICAL TRAIL, MERRITT ISLAND, FL, 32952
VAISHNAV HETAL D Agent 4523 MILOST DRIVE, ROCKELDGE, FL, 32955
VAISHNAV HETAL D Authorized Member 3000 MURRELL ROAD P. O. BOX 560095, ROCKLEDGE, FL, 32955

National Provider Identifier

NPI Number:
1649928490
Certification Date:
2024-09-11

Authorized Person:

Name:
DR. HETAL VAISHNAV
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207WX0107X - Retina Specialist (Ophthalmology) Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-01-31 175 E NASA BLVD, 201, MELBOURNE, FL 32901 -

Documents

Name Date
ANNUAL REPORT 2025-01-31
ANNUAL REPORT 2024-03-12
ANNUAL REPORT 2023-02-08
ANNUAL REPORT 2022-02-21
Florida Limited Liability 2021-08-30

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Date of last update: 01 Aug 2025

Sources: Florida Department of State