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LAKEWOOD CARDIOVASCULAR CONSULTANTS, P.A.

Company Details

Entity Name: LAKEWOOD CARDIOVASCULAR CONSULTANTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Jan 2007 (18 years ago)
Document Number: P07000007547
FEI/EIN Number 208255024
Address: 6310 HEALTH PARK WAY, SUITE 230, BRADENTON, FL, 34202
Mail Address: 6310 HEALTH PARK WAY, SUITE 230, BRADENTON, FL, 34202
ZIP code: 34202
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003969437 2007-01-19 2011-12-01 6310 HEALTH PARK WAY, SUITE 230, BRADENTON, FL, 342025177, US 6310 HEALTH PARK WAY, SUITE 230, BRADENTON, FL, 342025177, US

Contacts

Phone +1 941-907-1113
Fax 9419073887

Authorized person

Name ERICK E CALDERON
Role OWNER
Phone 9419071113

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
License Number ME77684
State FL
Is Primary Yes

Agent

Name Role Address
CALDERON ERICK E Agent 6310 HEALTH PARK WAY, BRADENTON, FL, 34202

Owner

Name Role Address
CALDERON ERICK EOWNER Owner 6310 HEALTH PARK WAY, BRADENTON, FL, 34202

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2008-04-29 6310 HEALTH PARK WAY, SUITE 230, BRADENTON, FL 34202 No data
CHANGE OF MAILING ADDRESS 2008-04-29 6310 HEALTH PARK WAY, SUITE 230, BRADENTON, FL 34202 No data
REGISTERED AGENT NAME CHANGED 2008-04-29 CALDERON, ERICK E No data
REGISTERED AGENT ADDRESS CHANGED 2008-04-29 6310 HEALTH PARK WAY, SUITE 230, BRADENTON, FL 34202 No data

Documents

Name Date
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-01-10
ANNUAL REPORT 2019-01-10
ANNUAL REPORT 2018-04-04
ANNUAL REPORT 2017-01-23
ANNUAL REPORT 2016-03-29
ANNUAL REPORT 2015-01-13

Date of last update: 02 Feb 2025

Sources: Florida Department of State