| Entity Name: | SOUTH FLORIDA HEART & VASCULAR PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Nov 2022 (2 years ago) |
| Document Number: | L22000485429 |
| FEI/EIN Number | 92-1067275 |
| Address: | 4425 Military Trail, Suite 102, Jupiter, FL 33458 |
| Mail Address: | 6231 PGA Blvd Ste 104 PMB 1033, Palm Beach Gardens, FL 33418 |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154030617 | 2022-11-23 | 2024-05-21 | 6231 PGA BLVD STE 104, PALM BEACH GARDENS, FL, 334184033, US | 4425 MILITARY TRL STE 102, JUPITER, FL, 334584816, US | |||||||||||||||||
|
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| Phone | +1 423-429-0130 |
Authorized person
| Name | HEMANG BHADRESHKUMAR PANCHAL |
| Role | OWNER |
| Phone | 4234290130 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PANCHAL, HEMANG B | Agent | 6231 PGA Blvd Ste 104 PMB 1033, Palm Beach Gardens, FL 33418 |
| Name | Role | Address |
|---|---|---|
| PANCHAL, HEMANG B | Authorized Member | 4425 MILITARY TRAIL, SUITE 102, JUPITER, FL 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-02-04 | 6231 PGA Blvd Ste 104 PMB 1033, Palm Beach Gardens, FL 33418 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-23 | 4425 Military Trail, Suite 102, Jupiter, FL 33458 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-23 | 4425 Military Trail, Suite 102, Jupiter, FL 33458 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-04 |
| ANNUAL REPORT | 2024-01-09 |
| AMENDED ANNUAL REPORT | 2023-06-06 |
| ANNUAL REPORT | 2023-02-04 |
| Florida Limited Liability | 2022-11-14 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
