| Entity Name: | VASCULAR AND INTERVENTIONAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 24 Aug 2023 (a year ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L23000399485 |
| Address: | 7556 LAKE WORTH RD., 101, LAKE WORTH, FL 33467 |
| Mail Address: | 7556 LAKE WORTH RD., 101, LAKE WORTH, FL 33467 |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265218291 | 2023-09-06 | 2023-09-06 | 7556 LAKE WORTH RD STE 103, LAKE WORTH, FL, 334672503, US | 7556 LAKE WORTH RD STE 103, LAKE WORTH, FL, 334672503, US | |||||||||||||||||||||||||||
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| Phone | +1 561-864-1370 |
| Fax | 5618941372 |
Authorized person
| Name | EMILIO E LOPEZ |
| Role | OWNER |
| Phone | 7865477655 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LOPEZ, EMILIO E | Agent | 8495 MILLER DR., MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, EMILIO E | Authorized Member | 7556 LAKE WORTH RD., STE. 101, LAKE WORTH, FL 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2023-08-24 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
