| Entity Name: | OPEN ACCESS VASCULAR ACCESS CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Jan 2000 (25 years ago) |
| Document Number: | P00000003877 |
| FEI/EIN Number | 650973601 |
| Address: | 16401 NW 2ND AVE., SUITE 101, N. MIAMI, FL, 33169, US |
| Mail Address: | 16401 NW 2ND AVE., SUITE 101, N. MIAMI, FL, 33169, US |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629008677 | 2006-07-04 | 2020-12-03 | 16401 NW 2ND AVE STE 101, MIAMI, FL, 331696036, US | 16401 NW 2ND AVE STE 101, MIAMI, FL, 331696036, US | |||||||||||||||||||||||||
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| Phone | +1 305-948-5333 |
| Fax | 3053483246 |
Authorized person
| Name | DR. SANFORD D. ALTMAN |
| Role | PRESIDENT/OWNER |
| Phone | 3059485333 |
Taxonomy
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FL GROUP PIN |
| Number | 33254 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALTMAN SANFORD D | Agent | 16401 NW 2ND AVE., N. MIAMI, FL, 33169 |
| Name | Role | Address |
|---|---|---|
| ALTMAN SANFORD D | Director | 16401 NW 2ND AVE. SUITE 101, N. MIAMI, FL, 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-05 | 16401 NW 2ND AVE., SUITE 101, N. MIAMI, FL 33169 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-05 | 16401 NW 2ND AVE., SUITE 101, N. MIAMI, FL 33169 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-05 | 16401 NW 2ND AVE., SUITE 101, N. MIAMI, FL 33169 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-02-16 |
| ANNUAL REPORT | 2020-04-01 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-08 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-04-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
