| Entity Name: | HEART CARE & VASCULAR MEDICINE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Jun 2003 (22 years ago) |
| Document Number: | P03000060986 |
| FEI/EIN Number | 571170101 |
| Address: | 2101 NIGHTINGALE LANE, TAVARES, FL, 32778-4365 |
| Mail Address: | 2101 NIGHTINGALE LANE, TAVARES, FL, 32778-4365 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508957846 | 2006-09-28 | 2010-06-03 | 2101 NIGHTINGALE LN, TAVARES, FL, 327784365, US | 2101 NIGHTINGALE LN, TAVARES, FL, 327784365, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-343-2255 |
| Fax | 3523432510 |
Authorized person
| Name | DR. THOMAS F PARENTE |
| Role | PRESIDENT |
| Phone | 3523432255 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | ME#67135 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 26500 |
| State | FL |
| Issuer | MEDICAID |
| Number | 376905400 |
| State | FL |
| Issuer | RRMC |
| Number | P00078003 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHAIRES, BROODERSON & GUERRERO | Agent | 283 CRANES ROOST BLVD, ALTAMONTE SPRINGS, FL, 32701 |
| Name | Role | Address |
|---|---|---|
| PARENTE THOMAS FDr. | President | 2101 NIGHTINGALE LANE, TAVARES, FL, 327784365 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-02-22 | CHAIRES, BROODERSON & GUERRERO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-21 | 283 CRANES ROOST BLVD, SUITE 165, ALTAMONTE SPRINGS, FL 32701 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-25 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-04-25 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-03-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
