| Entity Name: | THE HEART CENTER OF PALM COAST, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Mar 2022 (3 years ago) |
| Document Number: | L22000137122 |
| FEI/EIN Number | 88-1309553 |
| Address: | 61 MEMORIAL MEDICAL PARKWAY, SUITE 3816, PALM COAST, FL 32164 |
| Mail Address: | 61 MEMORIAL MEDICAL PARKWAY, SUITE 3816, PALM COAST, FL 32164 |
| ZIP code: | 32164 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437808029 | 2022-03-21 | 2022-12-07 | 61 MEMORIAL MEDICAL PKWY STE 3816, PALM COAST, FL, 321645982, US | 61 MEMORIAL MEDICAL PKWY STE 3816, PALM COAST, FL, 321645982, US | |||||||||||||||||
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| Phone | +1 386-586-1720 |
| Fax | 3865865422 |
| Phone | +1 832-264-3744 |
Authorized person
| Name | AMIT NANAVATI |
| Role | MANAGER/OWNER |
| Phone | 3865861720 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE HEART CENTER OF PALM COAST, LLC 401(K) PLAN | 2023 | 881309553 | 2024-07-21 | THE HEART CENTER OF PALM COAST, LLC | 6 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-21 |
| Name of individual signing | AMIT NANAVATI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| NANAVATI, AMIT N | Agent | 61 Memorial Medical Parkway, Suite 3816, Palm Coast, FL 32164 |
| Name | Role | Address |
|---|---|---|
| NANAVATI, AMIT N | Authorized Member | 61 MEMORIAL MEDICAL PARKWAY, SUITE 3816 PALM COAST, FL 32164 |
| Name | Role | Address |
|---|---|---|
| Nanavati, Nitin | Authorized Representative | 61 MEMORIAL MEDICAL PARKWAY, SUITE 3816 PALM COAST, FL 32164 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-03 | 61 Memorial Medical Parkway, Suite 3816, Palm Coast, FL 32164 | No data |
| CHANGE OF MAILING ADDRESS | 2022-12-22 | 61 MEMORIAL MEDICAL PARKWAY, SUITE 3816, PALM COAST, FL 32164 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-03 |
| Florida Limited Liability | 2022-03-21 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
