| Entity Name: | TRI-COUNTY HEART INSTITUTE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Apr 2016 (9 years ago) |
| Document Number: | P16000036142 |
| FEI/EIN Number | 81-2368177 |
| Address: | 20460 Sugarloaf Mountain Road, Clermont, FL 34715 |
| Mail Address: | 20460 Sugarloaf Mountain Road, Clermont, FL 34715 |
| ZIP code: | 34715 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063967149 | 2016-08-18 | 2024-01-08 | 1400 N US HIGHWAY 441 STE 531, THE VILLAGES, FL, 321598985, US | 1400 N US HIGHWAY 441 STE 531, THE VILLAGES, FL, 321598985, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 352-504-3500 |
| Fax | 3525043388 |
Authorized person
| Name | DR. NITZA ALVAREZ-TORRES |
| Role | OWNER |
| Phone | 3525043500 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME108879 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1659491983 |
| State | FL |
| Issuer | INDIVIDUAL NPI |
| Number | 1346837895 |
| State | FL |
| Issuer | INDIVIDUAL NPI |
| Number | 1457793978 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALVAREZ-TORRES, NITZA | Agent | 20460 Sugarloaf Mountain Road, Clermont, FL 34715 |
| Name | Role | Address |
|---|---|---|
| ALVAREZ-TORRES, NITZA | President | 20460 Sugarloaf Mountain Road, Clermont, FL 34715 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000139640 | NITZAMD | ACTIVE | 2021-10-19 | 2026-12-31 | No data | 20460 SUGARLOAF MOUNTAIN ROAD, CLERMONT, FL, 32471-5 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-10 | 20460 Sugarloaf Mountain Road, Clermont, FL 34715 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-10 | 20460 Sugarloaf Mountain Road, Clermont, FL 34715 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-10 | 20460 Sugarloaf Mountain Road, Clermont, FL 34715 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-10 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-04-14 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-02-09 |
| Domestic Profit | 2016-04-21 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
