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  5. FLORIDA CARDIOVASCULAR SPECIALISTS, PA

FLORIDA CARDIOVASCULAR SPECIALISTS, PA

Company Details

Entity Name: FLORIDA CARDIOVASCULAR SPECIALISTS, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 Mar 2010 (15 years ago)
Date of dissolution: 15 Jan 2021 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 15 Jan 2021 (4 years ago)
Document Number: P10000018902
FEI/EIN Number 272056479
Address: 711 W Main Street, LEESBURG, FL, 34748, US
Mail Address: 1851 Lake Terrace Dr, Eustis, FL, 32726, US
ZIP code: 34748
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033502398 2015-03-11 2015-03-11 1020 E NORTH BLVD, LEESBURG, FL, 347485348, US 200 E HIGHLAND AVE STE 1, CLERMONT, FL, 347112582, US

Contacts
Phone +1 352-326-1731
Fax 3527282498
Phone +1 352-394-3611
Fax 3523940739

Authorized person
Name DR. HECTOR L GARCIA
Role MANAGING PARTNER
Phone 3523261731

Taxonomy
Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary Yes
Taxonomy Code 207RI0011X - Interventional Cardiology Physician
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA CARDIOVASCULAR SPECIALISTS, PA RETIREMENT PLAN 2019 272056479 2020-10-01 FLORIDA CARDIOVASCULAR SPECIALISTS, PA 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-03
Business code 621111
Sponsor’s telephone number 3523261731
Plan sponsor’s address 711 W. MAIN STREET, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2020-09-24
Name of individual signing CHERI KLEISER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-24
Name of individual signing CHERI KLEISER
Valid signature Filed with authorized/valid electronic signature
FLORIDA CARDIOVASCULAR SPECIALISTS, PA RETIREMENT PLAN 2018 272056479 2019-04-16 FLORIDA CARDIOVASCULAR SPECIALISTS, PA 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-03
Business code 621111
Sponsor’s telephone number 3523261731
Plan sponsor’s address 711 W. MAIN STREET, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2019-04-16
Name of individual signing CHERI KLEISER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-16
Name of individual signing CHERI KLEISER
Valid signature Filed with authorized/valid electronic signature
FLORIDA CARDIOVASCULAR SPECIALISTS, PA RETIREMENT PLAN 2017 272056479 2018-04-09 FLORIDA CARDIOVASCULAR SPECIALISTS, PA 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-03
Business code 621111
Sponsor’s telephone number 3523261731
Plan sponsor’s address 711 W. MAIN STREET, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2018-03-29
Name of individual signing CHERI KLEISER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-29
Name of individual signing CHERI KLEISER
Valid signature Filed with authorized/valid electronic signature
FLORIDA CARDIOVASCULAR SPECIALISTS, PA RETIREMENT PLAN 2016 272056479 2017-10-19 FLORIDA CARDIOVASCULAR SPECIALISTS, PA 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-03
Business code 621111
Sponsor’s telephone number 3523261731
Plan sponsor’s address 711 W. MAIN STREET, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2017-10-19
Name of individual signing CHERI KLEISER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-19
Name of individual signing CHERI KLEISER
Valid signature Filed with authorized/valid electronic signature
FLORIDA CARDIOVASCULAR SPECIALISTS, PA RETIREMENT PLAN 2015 272056479 2016-07-18 FLORIDA CARDIOVASCULAR SPECIALISTS, PA 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-03
Business code 621111
Sponsor’s telephone number 3523261731
Plan sponsor’s address 1020 EAST NORTH BLVD., LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2016-07-16
Name of individual signing CHERI KLEISER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-16
Name of individual signing CHERI KLEISER
Valid signature Filed with authorized/valid electronic signature
FLORIDA CARDIOVASCULAR SPECIALISTS, PA RETIREMENT PLAN 2014 272056479 2015-08-21 FLORIDA CARDIOVASCULAR SPECIALISTS, PA 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-03
Business code 621111
Sponsor’s telephone number 3523261731
Plan sponsor’s address 1020 EAST NORTH BLVD., LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2015-08-21
Name of individual signing CHERI KLEISER
Valid signature Filed with authorized/valid electronic signature
FLORIDA CARDIOVASCULAR SPECIALISTS, PA RETIREMENT PLAN 2013 272056479 2014-06-02 FLORIDA CARDIOVASCULAR SPECIALISTS, PA 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-03
Business code 621111
Sponsor’s telephone number 3523261731
Plan sponsor’s address 1020 EAST NORTH BLVD., LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2014-05-31
Name of individual signing CHERI KLEISER
Valid signature Filed with authorized/valid electronic signature
FLORIDA CARDIOVASCULAR SPECIALISTS, PA RETIREMENT PLAN 2012 272056479 2013-05-23 FLORIDA CARDIOVASCULAR SPECIALISTS, PA 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-03
Business code 621111
Sponsor’s telephone number 3523261731
Plan sponsor’s address 1020 EAST NORTH BLVD., LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2013-05-19
Name of individual signing CHERI KLEISER
Valid signature Filed with authorized/valid electronic signature
FLORIDA CARDIOVASCULAR SPECIALISTS, PA RETIREMENT PLAN 2011 272056479 2012-06-05 FLORIDA CARDIOVASCULAR SPECIALISTS, PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-03
Business code 621111
Sponsor’s telephone number 3523261731
Plan sponsor’s address 1020 EAST NORTH BLVD., LEESBURG, FL, 34748

Plan administrator’s name and address
Administrator’s EIN 272056479
Plan administrator’s name FLORIDA CARDIOVASCULAR SPECIALISTS, PA
Plan administrator’s address 1020 EAST NORTH BLVD., LEESBURG, FL, 34748
Administrator’s telephone number 3523261731

Signature of
Role Plan administrator
Date 2012-05-28
Name of individual signing CHERI KLEISER
Valid signature Filed with authorized/valid electronic signature
FLORIDA CARDIOVASCULAR SPECIALISTS, PA RETIREMENT PLAN 2010 272056479 2011-09-15 FLORIDA CARDIOVASCULAR SPECIALISTS, PA 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-03
Business code 621111
Sponsor’s telephone number 3523261731
Plan sponsor’s address 1020 EAST NORTH BLVD., LEESBURG, FL, 34748

Plan administrator’s name and address
Administrator’s EIN 272056479
Plan administrator’s name FLORIDA CARDIOVASCULAR SPECIALISTS, PA
Plan administrator’s address 1020 EAST NORTH BLVD., LEESBURG, FL, 34748
Administrator’s telephone number 3523261731

Signature of
Role Plan administrator
Date 2011-09-15
Name of individual signing CHERI KLEISER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GARCIA HECTOR M Agent 1851 Lake Terrace Dr, Eustis, FL, 32726

President

Name Role Address
GARCIA HECTOR M President 1851 LAKE TERRACE DRIVE, EUSTIS, FL, 32726

Secretary

Name Role Address
Negron Marrero Roberto LMD Secretary 7310 Birds Nest Court, Yalaha, FL, 34797

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2021-01-15 No data No data
CHANGE OF MAILING ADDRESS 2020-06-16 711 W Main Street, LEESBURG, FL 34748 No data
REGISTERED AGENT ADDRESS CHANGED 2019-04-28 1851 Lake Terrace Dr, Eustis, FL 32726 No data
AMENDMENT 2016-09-14 No data No data
CHANGE OF PRINCIPAL ADDRESS 2016-02-03 711 W Main Street, LEESBURG, FL 34748 No data
REGISTERED AGENT NAME CHANGED 2010-05-21 GARCIA, HECTOR M.D. No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2021-01-15
ANNUAL REPORT 2020-06-16
ANNUAL REPORT 2019-04-28
ANNUAL REPORT 2018-04-15
ANNUAL REPORT 2017-01-20
Amendment 2016-09-14
ANNUAL REPORT 2016-02-03
ANNUAL REPORT 2015-01-31
ANNUAL REPORT 2014-02-25
ANNUAL REPORT 2013-01-20

Related by officers

GARCIA HECTOR M

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Related by address

711 W Main Street, LEESBURG, FL, 34748, US

FCS RENTAL 2, LLC SILER'S PROFESSIONAL BILLING SERVICES LLC KASEYS BIRD STORE LLC

1851 Lake Terrace Dr, Eustis, FL, 32726, US

FCS RENTAL, LLC FCS RENTAL 2, LLC POST RENAISSANCE LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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