| Entity Name: | INSTITUTE FOR ADVANCED THORACIC SURGERY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Mar 2022 (3 years ago) |
| Last Event: | LC REVOCATION OF DISSOLUTION |
| Event Date Filed: | 13 Jun 2024 (8 months ago) |
| Document Number: | L22000096443 |
| FEI/EIN Number | 881118410 |
| Address: | 5092 ISLEWORTH COUNTRY CLUB DRIVE, WINDERMERE, FL, 34786, US |
| Mail Address: | 1317 EDGEWATER DR SUITE 7304, ORLANDO, FL, 32804, US |
| ZIP code: | 34786 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376285999 | 2022-04-13 | 2022-08-16 | 5092 ISLEWORTH COUNTRY CLUB DR, WINDERMERE, FL, 347868920, US | 6718 LAKE NONA BLVD, ORLANDO, FL, 328277982, US | |||||||||||||||
|
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| Phone | +1 202-841-7304 |
| Phone | +1 407-747-1899 |
Authorized person
| Name | FARID GHARAGOZLOO |
| Role | OWNER |
| Phone | 4077471899 |
Taxonomy
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GHARAGOZLOO FARID | Agent | 5092 ISLEWORTH COUNTRY CLUB DRIVE, WINDERMERE, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| GHARAGOZLOO FARID | Authorized Member | 5092 ISLEWORTH COUNTRY CLUB DRIVE, WINDERMERE, FL, 34786 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-12-12 | 5092 ISLEWORTH COUNTRY CLUB DRIVE, WINDERMERE, FL 34786 | No data |
| CHANGE OF MAILING ADDRESS | 2024-12-12 | 5092 ISLEWORTH COUNTRY CLUB DRIVE, WINDERMERE, FL 34786 | No data |
| LC REVOCATION OF DISSOLUTION | 2024-06-13 | No data | No data |
| LC VOLUNTARY DISSOLUTION | 2024-03-12 | No data | No data |
| Name | Date |
|---|---|
| LC Revocation of Dissolution | 2024-06-13 |
| LC Voluntary Dissolution | 2024-03-12 |
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-01-22 |
| Florida Limited Liability | 2022-03-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
