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CVAUSA ACO, LLC

Company Details

Entity Name: CVAUSA ACO, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 22 Aug 2023 (a year ago)
Document Number: M23000010972
FEI/EIN Number 93-1804750
Address: 610 SYCAMORE STREET, SUITE 220, CELEBRATION, FL, 34747, US
Mail Address: 610 SYCAMORE STREET, SUITE 220, CELEBRATION, FL, 34747, US
ZIP code: 34747
County: Osceola
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912689837 2023-08-01 2023-08-02 610 SYCAMORE ST STE 220, CELEBRATION, FL, 347474996, US 610 SYCAMORE ST STE 220, CELEBRATION, FL, 347474996, US

Contacts

Phone +1 833-728-2872

Authorized person

Name BABAK SOHIZAD
Role DIRECTOR
Phone 2489747972

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes
Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary No

Agent

Name Role
C T CORPORATION SYSTEM Agent

Manager

Name Role
CVAUSA MANAGEMENT, LLC Manager

Authorized Person

Name Role Address
ATTEBERY TIM Authorized Person 610 SYCAMORE STREET, SUITE 220, CELEBRATION, FL, 34747

Documents

Name Date
ANNUAL REPORT 2024-02-13
Foreign Limited 2023-08-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State