| Entity Name: | SOUTH SHORE CARDIOVASCULAR ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Jan 2008 (17 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 14 Sep 2022 (2 years ago) |
| Document Number: | P08000011512 |
| FEI/EIN Number | 261868696 |
| Address: | 13127 VAIL RIDGE DR, RIVERVIEW, FL, 33579, US |
| Mail Address: | 13127 VAIL RIDGE DR, RIVERVIEW, FL, 33579, US |
| ZIP code: | 33579 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912175290 | 2008-02-20 | 2022-12-21 | 425 S KINGS AVE, BRANDON, FL, 335115919, US | 425 S KINGS AVE, BRANDON, FL, 335115919, US | |||||||||||||||
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| Phone | +1 813-661-6199 |
| Fax | 8136616334 |
Authorized person
| Name | DR. HARSHINDER SINGH |
| Role | OWNER |
| Phone | 8638999576 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 401 K PROFIT SHARING PLAN AND TRUST | 2018 | 261868696 | 2019-10-14 | SOUTH SHORE CARDIOVASCULAR ASSOCIATES | 9 | |||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2019-10-14 |
| Name of individual signing | BETTY PRIHAR |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-10-14 |
| Name of individual signing | BETTY PRIHAR |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BIVINS ROBERT W | Agent | 1060 BLOOMINGDALE AVENUE, VALRICO, FL, 33596 |
| Name | Role | Address |
|---|---|---|
| SINGH HARSHINDER | President | 13127 Vail Ridge Dr, Riverview, FL, 33579 |
| Name | Role | Address |
|---|---|---|
| SINGH HARSHINDER | Secretary | 13127 Vail Ridge Dr, Riverview, FL, 33579 |
| Name | Role | Address |
|---|---|---|
| SINGH HARSHINDER | Treasurer | 13127 Vail Ridge Dr, Riverview, FL, 33579 |
| Name | Role | Address |
|---|---|---|
| SINGH HARSHINDER | Director | 13127 Vail Ridge Dr, Riverview, FL, 33579 |
| Name | Role | Address |
|---|---|---|
| PRIHAR BETTY | Vice President | 13127 Vail Ridge Drive, Riverview, FL, 33579 |
| Name | Role | Address |
|---|---|---|
| Ametlli Vanda | Officer | 2017 Arbor Mist Dr, Brandon, FL, 33510 |
| Singh Robby R | Officer | 13127 VAIL RIDGE DR, RIVERVIEW, FL, 33579 |
| Cordova Juan P | Officer | 13127 VAIL RIDGE DR, RIVERVIEW, FL, 33579 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-09-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-26 | 13127 VAIL RIDGE DR, RIVERVIEW, FL 33579 | No data |
| CHANGE OF MAILING ADDRESS | 2021-08-26 | 13127 VAIL RIDGE DR, RIVERVIEW, FL 33579 | No data |
| AMENDMENT | 2016-07-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-02-13 | BIVINS, ROBERT WESQ | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-13 | 1060 BLOOMINGDALE AVENUE, VALRICO, FL 33596 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| AMENDED ANNUAL REPORT | 2023-09-05 |
| ANNUAL REPORT | 2023-02-22 |
| Amendment | 2022-09-14 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-02-29 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-04-22 |
| ANNUAL REPORT | 2017-02-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
