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CARDIOVASCULAR CLINIC OF EAST FORT LAUDERDALE, LLC - Florida Company Profile

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Company Details

Entity Name: CARDIOVASCULAR CLINIC OF EAST FORT LAUDERDALE, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 06 Oct 2022 (3 years ago)
Document Number: M22000015438
FEI/EIN Number 920589347
Address: 920 Winter Street, Waltham, MA, 02451, US
Mail Address: 920 Winter Street, Waltham, MA, 02451, US
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
NCP Cardiac Cath Lab of East Fort Lauderda Member 920 Winter Street, Waltham, MA, 02451
Strauss Jason J Manager 920 Winter Street, Waltham, MA, 02451
Wachsman Leslie Manager 920 Winter Street, Waltham, MA, 02451
Mark Ladd W Secretary 920 Winter Street, Waltham, MA, 02451
Jones Jordan Vice President 920 Winter Street, Waltham, MA, 02451
Fain J. Vice President 920 Winter Street, Waltham, MA, 02451
- Agent -

National Provider Identifier

NPI Number:
1114606480
Certification Date:
2023-07-14

Authorized Person:

Name:
KELLY BEMIS
Role:
CHIEF CLINICAL OFFICER
Phone:

Taxonomy:

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

Contacts:

Fax:
4849240053

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2025-07-25 - -
CHANGE OF PRINCIPAL ADDRESS 2024-01-09 920 Winter Street, Waltham, MA 02451 -
CHANGE OF MAILING ADDRESS 2024-01-09 920 Winter Street, Waltham, MA 02451 -

Documents

Name Date
ANNUAL REPORT 2024-01-09
ANNUAL REPORT 2023-02-24
Foreign Limited 2022-10-06

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Date of last update: 03 Aug 2025

Sources: Florida Department of State