| Entity Name: | CARDIOVASCULAR HEALTH CONSULTANTS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CARDIOVASCULAR HEALTH CONSULTANTS, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 17 May 2006 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Dec 2022 (2 years ago) |
| Document Number: | P06000069655 |
| FEI/EIN Number |
204869058
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 13575 NW 1st Lane, Suite 20, Newberry, FL, 32669, US |
| Mail Address: | 13575 NW 1st Lane, Suite 20, Newberry, FL, 32669, US |
| ZIP code: | 32669 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104873405 | 2006-05-30 | 2024-11-08 | 13575 NW 1ST LN STE 20, NEWBERRY, FL, 326693735, US | 13575 NW 1ST LN STE 20, NEWBERRY, FL, 326693735, US | |||||||||||||||||||||||||||||||
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| Phone | +1 352-332-5755 |
| Fax | 8559641167 |
Authorized person
| Name | PRESTON T GREEN |
| Role | PHYSICIAN |
| Phone | 3523325755 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AVMED GROUP |
| Number | S1027207 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | DG3096 |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 24544 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH FLORIDA HEART RETIREMENT PLAN | 2017 | 204869058 | 2018-07-27 | CARDIOVASCULAR HEALTH CONSULTANTS, PA | 7 | |||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-07-27 |
| Name of individual signing | EDUARD VANGELDER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3523325755 |
| Plan sponsor’s DBA name | NORTH FLORIDA HEART |
| Plan sponsor’s address | 350 NW 76TH DRIVE, SUITE B, GAINESVILLE, FL, 32607 |
Signature of
| Role | Plan administrator |
| Date | 2016-06-10 |
| Name of individual signing | EDUARD VANGELDER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GREEN PRESTON TDr. | Agent | 13575 NW 1st Lane, Newberry, FL, 32669 |
| GREEN PRESTON T | President | 13575 NW 1st Lane, Newberry, FL, 32669 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000060169 | NORTH FLORIDA HEART | ACTIVE | 2019-05-21 | 2029-12-31 | - | 13575 NW 1ST LANE, SUITE 20, NEWBERRY, FL, 32669 |
| G08109900278 | NORTH FLORIDA HEART | EXPIRED | 2008-04-18 | 2013-12-31 | - | 150 NW 75TH DRIVE, SUITE A, GAINESVILLE, FL, 32607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-12-04 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-15 | 13575 NW 1st Lane, Suite 20, Newberry, FL 32669 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-15 | 13575 NW 1st Lane, Suite 20, Newberry, FL 32669 | - |
| CHANGE OF MAILING ADDRESS | 2021-03-15 | 13575 NW 1st Lane, Suite 20, Newberry, FL 32669 | - |
| REGISTERED AGENT NAME CHANGED | 2014-03-27 | GREEN, PRESTON T, Dr. | - |
| AMENDMENT | 2010-12-27 | - | - |
| REINSTATEMENT | 2010-10-07 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-06-15 |
| REINSTATEMENT | 2022-12-04 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-04-07 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-02-26 |
| ANNUAL REPORT | 2015-01-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4860617107 | 2020-04-13 | 0491 | PPP | 350 NW 76th Drie, Suite B, Gainesville, FL, 32607 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5113438305 | 2021-01-25 | 0491 | PPS | 13575 NW 1st Ln Ste 20, Tioga, FL, 32669-3735 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 May 2025
Sources: Florida Department of State
