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COMPLETE CARDIOLOGY CARE, P.A. - Florida Company Profile

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Company Details

Entity Name: COMPLETE CARDIOLOGY CARE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 05 Oct 2010 (15 years ago)
Date of dissolution: 01 Dec 2010 (15 years ago)
Last Event: CONVERSION
Event Date Filed: 01 Dec 2010 (15 years ago)
Document Number: P10000081459
Address: 161 N CAUSEWAY SUITE C, NEW SMYRNA BEACH, FL, 32169
Mail Address: 161 N CAUSEWAY SUITE C, NEW SMYRNA BEACH, FL, 32169
ZIP code: 32169
City: New Smyrna Beach
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LO ERIC L Director 161 N CAUSEWAY SUITE C, NEW SMYRNA BEACH, FL, 32169
LO ERIC L President 161 N CAUSEWAY SUITE C, NEW SMYRNA BEACH, FL, 32169
LO ERIC L Secretary 161 N CAUSEWAY SUITE C, NEW SMYRNA BEACH, FL, 32169
WANG HUIJIAN Director 161 N CAUSEWAY SUITE C, NEW SMYRNA BEACH, FL, 32169
WANG HUIJIAN Vice President 161 N CAUSEWAY SUITE C, NEW SMYRNA BEACH, FL, 32169
WANG HUIJIAN Treasurer 161 N CAUSEWAY SUITE C, NEW SMYRNA BEACH, FL, 32169
GORNTO L.A. J Agent 444 SEABREEZE BLVD SUITE 200, DAYTONA BEACH, FL, 32118

National Provider Identifier

NPI Number:
1851552665
Certification Date:
2022-06-02

Authorized Person:

Name:
HUIJIAN JAMES WANG
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
No
Selected Taxonomy:
207RC0001X - Clinical Cardiac Electrophysiology Physician
Is Primary:
No
Selected Taxonomy:
305S00000X - Point of Service
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3862632996

Form 5500 Series

Employer Identification Number (EIN):
911896241
Plan Year:
2016
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
3
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CONVERSION 2010-12-01 - CONVERSION MEMBER. RESULTING CORPORATION WAS L10000123914. CONVERSION NUMBER 100000109251

Documents

Name Date
Domestic Profit 2010-10-05

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Date of last update: 03 Aug 2025

Sources: Florida Department of State