| Entity Name: | ADVANCED VASCULAR INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jan 2024 (a year ago) |
| Document Number: | L24000027802 |
| FEI/EIN Number | 990829810 |
| Address: | 2401 STATE AVE, UNIT 100, PANAMA CITY, FL, 32405, US |
| Mail Address: | 2401 STATE AVE, UNIT 100, PANAMA CITY, FL, 32405, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700640802 | 2024-02-08 | 2024-02-08 | 2401 STATE AVE STE 100, PANAMA CITY, FL, 324053942, US | 2401 STATE AVE STE 100, PANAMA CITY, FL, 324053942, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 502-262-5980 |
Authorized person
| Name | DR. AHMED FARAG |
| Role | OWNER |
| Phone | 5022625980 |
Taxonomy
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| FARAG AHMED | Manager | 2401 STATE AVE UNIT 100, PANAMA CITY, FL, 32405 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
