| Entity Name: | SCVIR, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Nov 2022 (2 years ago) |
| Document Number: | L22000469105 |
| FEI/EIN Number | 92-0924636 |
| Address: | 336 N Babcock St, Suite #101, MELBOURNE, FL 32935 |
| Mail Address: | 336 N Babcock St, Suite #101, MELBOURNE, FL 32935 |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477261550 | 2022-11-08 | 2023-04-12 | 336 N BABCOCK ST, MELBOURNE, FL, 329357352, US | 336 N BABCOCK ST, MELBOURNE, FL, 329357352, US | |||||||||||||||||
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| Phone | +1 601-954-8560 |
Authorized person
| Name | AKASH PATEL |
| Role | OWNER |
| Phone | 6019548560 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PATEL, AKASH | Agent | 5324 Creekwood Dr, MELBOURNE, FL 32940 |
| Name | Role | Address |
|---|---|---|
| Patel, Akash | Authorized Representative | 5324 Creekwood Dr, MELBOURNE, FL 32940 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000141222 | SPACE COAST VASCULAR INTERVENTIONAL RADIOLOGY | ACTIVE | 2022-11-14 | 2027-12-31 | No data | 1108 S RIVERSIDE DR, INDIALANTIC, FL, 32903 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-07 | 5324 Creekwood Dr, MELBOURNE, FL 32940 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-18 | 336 N Babcock St, Suite #101, MELBOURNE, FL 32935 | No data |
| CHANGE OF MAILING ADDRESS | 2023-05-18 | 336 N Babcock St, Suite #101, MELBOURNE, FL 32935 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-07 |
| ANNUAL REPORT | 2023-02-02 |
| Florida Limited Liability | 2022-11-01 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
