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  5. NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A.

NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A.

Company Details

Entity Name: NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 15 Jan 2002 (23 years ago)
Document Number: P02000005248
FEI/EIN Number 03-0377192
Address: 2735 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL 32216
Mail Address: 2735 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL 32216
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538199500 2006-07-04 2010-02-11 2735 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322162548, US 2735 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322162548, US

Contacts
Phone +1 904-721-0894
Fax 9047210991

Authorized person
Name DR. PANKAJ H GANDHI
Role OWNER
Phone 9047210894

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

Other Provider Identifiers
Issuer BCBS
Number 99081
State FL
Issuer MEDICAID
Number 274905000
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2023 030377192 2024-12-04 NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9047210894
Plan sponsor’s address 2735 UNIVERSITY BOULEVARD SOUTH, JACKSONVILLE, FL, 32216
NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2023 030377192 2024-02-05 NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9047210894
Plan sponsor’s address 2735 UNIVERSITY BOULEVARD SOUTH, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2024-02-05
Name of individual signing P.J. GANDHI
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2022 030377192 2023-06-23 NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9047210894
Plan sponsor’s address 2735 UNIVERSITY BOULEVARD SOUTH, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2023-06-23
Name of individual signing P.J. GANDHI
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2021 030377192 2022-03-04 NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9047210894
Plan sponsor’s address 2735 UNIVERSITY BOULEVARD SOUTH, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2022-03-04
Name of individual signing P.J. GANDHI
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2020 030377192 2021-03-23 NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9047210894
Plan sponsor’s address 2735 UNIVERSITY BOULEVARD SOUTH, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2021-03-23
Name of individual signing P.J. GANDHI
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2019 030377192 2020-04-02 NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9047210894
Plan sponsor’s address 2735 UNIVERSITY BOULEVARD SOUTH, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2020-04-02
Name of individual signing P.J. GANDHI
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2018 030377192 2019-04-29 NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9047210894
Plan sponsor’s address 2735 UNIVERSITY BOULEVARD SOUTH, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2019-04-29
Name of individual signing P.J. GANDHI
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2017 030377192 2018-06-04 NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9047210894
Plan sponsor’s address 2735 UNIVERSITY BOULEVARD SOUTH, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2018-06-04
Name of individual signing P.J. GANDHI
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2016 030377192 2017-06-02 NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9047210894
Plan sponsor’s address 2735 UNIVERSITY BOULEVARD SOUTH, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2017-06-02
Name of individual signing P.J. GANDHI
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2015 030377192 2016-03-16 NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9047210894
Plan sponsor’s address 2735 UNIVERSITY BOULEVARD SOUTH, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2016-03-16
Name of individual signing P.J. GANDHI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GANDHI, PANKAJ MD Agent 2735 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL 32216

Manager

Name Role Address
GANDHI, PANKAJ H Manager 2735 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL 32216

Director

Name Role Address
GANDHI, PANKAJ H Director 2735 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL 32216

Documents

Name Date
ANNUAL REPORT 2024-01-23
ANNUAL REPORT 2023-02-22
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-03-25
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-02-25
ANNUAL REPORT 2015-01-09

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 31 Jan 2025

Sources: Florida Department of State

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