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CARDIAC CATH LAB OF EAST FORT LAUDERDALE, LLC - Florida Company Profile

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Company Details

Entity Name: CARDIAC CATH LAB OF EAST FORT LAUDERDALE, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 21 Jun 2017 (8 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 09 Mar 2023 (2 years ago)
Document Number: M17000005312
FEI/EIN Number 82-1925920
Mail Address: 920 Winter St., Waltham, MA, 02451, US
Address: 1925 NE 45 St., Ft. Lauderdale, FL, 33308, US
ZIP code: 33308
City: Fort Lauderdale
County: Broward
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
Cardiovascular Clinic of East Fort Lauderd Member 1925 NE 45 St., Ft. Lauderdale, FL, 33308
NCP Cardiac Cath Lab of East Fort Lauderda Manager 1925 NE 45 St., Ft. Lauderdale, FL, 33308
Strauss Jason J Manager 1925 NE 45 St., Ft. Lauderdale, FL, 33308
Wachsman Leslie Manager 1925 NE 45 St., Ft. Lauderdale, FL, 33308
Macphail Winborne President 1925 NE 45 St., Ft. Lauderdale, FL, 33308
Hirsch Marilyn Treasurer 1925 NE 45 St., Ft. Lauderdale, FL, 33308
- Agent -

National Provider Identifier

NPI Number:
1740771799
Certification Date:
2023-09-19

Authorized Person:

Name:
KELLY MARIE BEMIS
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4849240053

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000030858 FT LAUDERDALE HEART & RHYTHM CENTER ACTIVE 2025-03-03 2030-12-31 - 1925 NE 45TH STREET, FORT LAUDERDALE, FL, 33308
G17000116960 FT. LAUDERDALE HEART & RHYTHM CENTER EXPIRED 2017-10-24 2022-12-31 - 920 WINTER ST., WALTHAM, MA, 02451

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2025-07-25 - -
CHANGE OF MAILING ADDRESS 2024-01-09 40 Valley Stream Pkwy, Malvern, PA 19355 -
LC AMENDMENT 2023-03-09 - -
CHANGE OF PRINCIPAL ADDRESS 2023-02-28 40 Valley Stream Pkwy, Malvern, PA 19355 -

Documents

Name Date
ANNUAL REPORT 2024-01-09
LC Amendment 2023-03-09
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-03-29
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-04-23
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-04-05
Foreign Limited 2017-06-21

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Date of last update: 01 Aug 2025

Sources: Florida Department of State