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WESLEY CHAPEL VASCULAR, L.L.C.

Company Details

Entity Name: WESLEY CHAPEL VASCULAR, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 19 May 2023 (2 years ago)
Document Number: L23000247909
FEI/EIN Number N/A
Address: 1245 COURT STREET, CLEARWATER, FL 33756
Mail Address: 1245 COURT STREET, CLEARWATER, FL 33756
ZIP code: 33756
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407532153 2023-06-27 2023-06-29 2615 WINDGUARD CIR STE 101, WESLEY CHAPEL, FL, 335447353, US 2615 WINGUARD CIR UNIT 101, WESLEY CHAPEL, FL, 33544, US

Contacts

Phone +1 352-770-8346

Authorized person

Name JEFF MATHEW
Role PRESIDENT
Phone 6174359319

Taxonomy

Taxonomy Code 2086S0129X - Vascular Surgery Physician
Is Primary Yes

Agent

Name Role Address
GASSMAN, ALAN S, ESQ. Agent 1245 COURT STREET, CLEARWATER, FL 33756

Manager

Name Role Address
MATHEW, JEFF Manager 1245 COURT STREET, CLEARWATER, FL 33756

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000120216 PURCELL VASCULAR LLC ACTIVE 2024-09-25 2029-12-31 No data 10441 QUALITY DR, STE 205, SPRING HILL, FL, 34609

Documents

Name Date
ANNUAL REPORT 2024-02-08
Florida Limited Liability 2023-05-19

Date of last update: 10 Feb 2025

Sources: Florida Department of State