| Entity Name: | FORT LAUDERDALE VASCULAR ACCESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Jun 2012 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 May 2019 (6 years ago) |
| Document Number: | M12000003652 |
| FEI/EIN Number | 371694339 |
| Mail Address: | 920 WINTER STREET, WALTHAM, MA, 02451 |
| Address: | 920 Winter St., Waltham, MA, 02451, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124380365 | 2012-06-13 | 2013-05-31 | 182 INDUSTRIAL RD, GLEN ROCK, PA, 173278626, US | 3601 W COMMERCIAL BLVD, SUITE 21, FORT LAUDERDALE, FL, 333093300, US | |||||||||||||||||||
|
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| Phone | +1 717-759-6739 |
| Fax | 7172354024 |
| Phone | +1 954-497-2161 |
| Fax | 9545355507 |
Authorized person
| Name | MR. RONALD H. RODGERS JR. |
| Role | PRESIDENT |
| Phone | 6106448900 |
Taxonomy
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role |
|---|---|
| AMERICAN ACCESS CARE OF FLORIDA, LLC | Auth |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-24 | 920 Winter St., Waltham, MA 02451 | No data |
| REINSTATEMENT | 2019-05-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-05-30 | C T CORPORATION SYSTEM | No data |
| REVOKED FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-03-29 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-25 |
| REINSTATEMENT | 2019-05-30 |
| ANNUAL REPORT | 2013-02-21 |
| Foreign Limited | 2012-06-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
