| Entity Name: | PALM VASCULAR CENTER OF SOUTH MIAMI, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Aug 2022 (2 years ago) |
| Document Number: | L22000349876 |
| FEI/EIN Number | 92-2119524 |
| Address: | 3107 STIRLING ROAD, SUITE 102, FORT LAUDERDALE, FL, 33312, US |
| Mail Address: | 3107 STIRLING ROAD, SUITE 102, FORT LAUDERDALE, FL, 33312, US |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093499766 | 2023-06-13 | 2023-06-13 | 3107 STIRLING RD STE 102, FORT LAUDERDALE, FL, 333128500, US | 2601 SW 37TH AVE STE 704B, CORAL GABLES, FL, 331332750, US | |||||||||||||
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| Phone | +1 786-574-0977 |
Authorized person
| Name | VINOD ASHOK CHAINANI |
| Role | OWNER |
| Phone | 7865740977 |
Taxonomy
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LASRIS HEALTH LAW CENTER, P.A. | Agent | 7805 SW 6TH COURT, PLANTATION, FL, 33324 |
| Name | Role |
|---|---|
| PVC MANAGEMENT, LLC | Manager |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-25 |
| Florida Limited Liability | 2022-08-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
