Home Page
Counties
Alachua
32605
THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A.

THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A.

Company Details

Entity Name:	THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Inactive
Date Filed:	17 Mar 2014 (11 years ago)
Date of dissolution:	25 Sep 2020 (4 years ago)
Last Event:	ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed:	25 Sep 2020 (4 years ago)
Document Number:	P14000024131
FEI/EIN Number	46-5130593
Address:	1151 NW 64th Terrace, GAINESVILLE, FL, 32605, US
Mail Address:	PO Box 357145, GAINESVILLE, FL, 32635, US
ZIP code:	32605
County:	Alachua
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1134546542

2014-03-24

2017-10-12

PO BOX 14655, GAINESVILLE, FL, 326044655, US

1151 NW 64TH TER, GAINESVILLE, FL, 326054218, US

Contacts

Phone	+1 352-331-9095
Fax	3523319095
Phone	+1 352-331-8570

Authorized person

Name	RICHARD R PROIA
Role	PRESIDENT
Phone	3524162628

Taxonomy

Taxonomy Code	208600000X - Surgery Physician
License Number	ME94028
State	FL
Is Primary	No
Taxonomy Code	208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number	ME94028
State	FL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A. 401(K) PROFIT SHARING PLAN

2017

465130593

2018-07-16

THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A.

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-09-01
Business code	621111
Sponsor’s telephone number	3523318570
Plan sponsor’s address	1131 NW 64 TERRACE, GAINESVILLE, FL, 32605

THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A.

2017

465130593

2018-11-01

THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A.

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-09-01
Business code	621111
Sponsor’s telephone number	3523318570
Plan sponsor’s address	1131 NW 64TH TERRACE, GAINESVILLE, FL, 32605

THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A. 401(K) PROFIT SHARING PLAN

2016

465130593

2017-08-02

THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A.

2

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-09-01
Business code	621111
Sponsor’s telephone number	3523318570
Plan sponsor’s address	4645 NW 8TH AVENUE, GAINESVILLE, FL, 32605

THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A. 401(K) PROFIT SHARING PLAN

2015

465130593

2016-07-28

THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A.

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-09-01
Business code	621111
Sponsor’s telephone number	3523318570
Plan sponsor’s address	4645 NW 8TH AVENUE, GAINESVILLE, FL, 32605

THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A. 401(K) PROFIT SHARING PLAN

2014

465130593

2015-07-22

THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A.

2

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-09-01
Business code	621111
Sponsor’s telephone number	3523318570
Plan sponsor’s address	4645 NW 8TH AVENUE, GAINESVILLE, FL, 32605

Signature of

Role	Plan administrator
Date	2015-07-22
Name of individual signing	JOHN CONNOR
Valid signature	Filed with authorized/valid electronic signature

Agent

Name	Role	Address
Proia Richard	Agent	1151 NW 64th Terrace, GAINESVILLE, FL, 32605

Director

Name	Role	Address
PROIA RICHARD	Director	1151 NW 64th Terrace, GAINESVILLE, FL, 32605

Events

Event Type	Filed Date	Value	Description
ADMIN DISSOLUTION FOR ANNUAL REPORT	2020-09-25	No data	No data
CHANGE OF MAILING ADDRESS	2019-02-19	1151 NW 64th Terrace, GAINESVILLE, FL 32605	No data
REGISTERED AGENT ADDRESS CHANGED	2019-02-19	1151 NW 64th Terrace, GAINESVILLE, FL 32605	No data
CHANGE OF PRINCIPAL ADDRESS	2018-02-13	1151 NW 64th Terrace, GAINESVILLE, FL 32605	No data
REGISTERED AGENT NAME CHANGED	2018-02-13	Proia, Richard	No data

Documents

Name	Date
ANNUAL REPORT	2019-02-19
ANNUAL REPORT	2018-02-13
ANNUAL REPORT	2017-04-20
ANNUAL REPORT	2016-04-15
ANNUAL REPORT	2015-04-16
Domestic Profit	2014-03-17

Date of last update: 01 Feb 2025

Sources: Florida Department of State