Entity Name: | ADVANCED CARDIOVASCULAR CARE, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 28 Aug 2024 (5 months ago) |
Document Number: | L24000378285 |
Address: | 102 NE 2ND ST, STE 238, BOCA RATON, FL, 33432 |
Mail Address: | 102 NE 2ND ST, STE 238, BOCA RATON, FL, 33432 |
ZIP code: | 33432 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1568289130 | 2024-09-24 | 2024-09-24 | 102 NE 2ND ST STE 238, BOCA RATON, FL, 334323908, US | 2233 PARK AVE STE 201A, ORANGE PARK, FL, 320735567, US | |||||||||||||
|
Phone | +1 646-270-1967 |
Authorized person
Name | MICHAEL LUZ AVARICIO |
Role | PRESIDENT |
Phone | 6462701967 |
Taxonomy
Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BRILLANTES MARIA C | Agent | 101 PLAZA REAL S., BOCA RATON, FL, 33432 |
Name | Role | Address |
---|---|---|
AVARICIO MICHAEL L | President | 99 SE MIZNER BOULEVARD, UNIT 743, BOCA RATON, FL, 33432 |
Name | Date |
---|---|
Florida Limited Liability | 2024-08-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State