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FLORIDA HEART AND VASCULAR SPECIALISTS LLC

Company Details

Entity Name: FLORIDA HEART AND VASCULAR SPECIALISTS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 12 Jan 2024 (a year ago)
Document Number: L24000026615
FEI/EIN Number 99-0823416
Address: 3155 SUNTREE BLVD STE 102, ROCKLEDGE, FL 32955
Mail Address: 3155 SUNTREE BLVD STE 102, ROCKLEDGE, FL 32955
ZIP code: 32955
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962264283 2024-01-24 2024-04-25 3155 SUNTREE BLVD STE 102, ROCKLEDGE, FL, 329555720, US 3155 SUNTREE BLVD STE 102, ROCKLEDGE, FL, 329555720, US

Contacts

Phone +1 321-441-4418

Authorized person

Name DR. AMIT SHARMA
Role OWNER
Phone 3214418749

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary No
Taxonomy Code 207RI0011X - Interventional Cardiology Physician
Is Primary Yes

Agent

Name Role
UNITED STATES CORPORATION AGENTS, INC. Agent

Authorized Member

Name Role Address
SHARMA, AMIT K Authorized Member 3155 SUNTREE BLVD STE 102, ROCKLEDGE, FL 32955

Documents

Name Date
Florida Limited Liability 2024-01-12

Date of last update: 09 Feb 2025

Sources: Florida Department of State