| Entity Name: | THE HEART AND VASCULAR CENTER OF SARASOTA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Jul 2002 (23 years ago) |
| Document Number: | P02000073238 |
| FEI/EIN Number | 753072541 |
| Address: | 1217 S. East Ave, Suite 104, SARASOTA, FL, 34239, US |
| Mail Address: | PO Box 5699, SARASOTA, FL, 34277-5699, US |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033174453 | 2006-04-19 | 2010-06-16 | PO BOX 5699, SARASOTA, FL, 342775699, US | 1851 HAWTHORNE STREET, SARASOTA, FL, 342392945, US | |||||||||||||||||||||||||||
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| Phone | +1 941-365-0433 |
| Fax | 9419542064 |
Authorized person
| Name | DR. CLAYTON E BREDLAU |
| Role | STAFF PHYSICIAN |
| Phone | 9413650433 |
Taxonomy
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 264865200 |
| State | FL |
| Issuer | MCR RAILROAD |
| Number | CK3972 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE HEART AND VASCULAR CENTER OF SARASOTA, INC. PENSION PLAN | 2009 | 753072541 | 2010-06-23 | THE HEART AND VASCULAR CENTER OF SARASOTA, INC. | 19 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 753072541 |
| Plan administrator’s name | THE HEART AND VASCULAR CENTER OF SARASOTA, INC. |
| Plan administrator’s address | 1851 HAWTHORNE ST, SARASOTA, FL, 34239 |
| Administrator’s telephone number | 9413650433 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-23 |
| Name of individual signing | CLAYTON BREDLAU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BREDLAU CLAYTON E | Agent | 1217 S. East Ave, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| BREDLAU CLAYTON EDr. | President | 1217 S. East Ave, SARASOTA, FL, 34239 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-05 | 1217 S. East Ave, Suite 104, SARASOTA, FL 34239 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-05 | 1217 S. East Ave, Suite 104, SARASOTA, FL 34239 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-15 | 1217 S. East Ave, Suite 104, SARASOTA, FL 34239 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-05-03 | BREDLAU, CLAYTON E | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-04-25 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-24 |
| ANNUAL REPORT | 2016-05-02 |
| ANNUAL REPORT | 2015-03-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
