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PEDIATRIC CARDIAC CRITICAL CARE OF SOUTH FLORIDA, PA - Florida Company Profile

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Company Details

Entity Name: PEDIATRIC CARDIAC CRITICAL CARE OF SOUTH FLORIDA, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Jan 2020 (6 years ago)
Document Number: P20000002387
FEI/EIN Number 84-4304547
Address: 1117 EAST HALLANDALE BEACH BLVD, HALLANDALE, FL, 33009
Mail Address: 1117 EAST HALLANDALE BEACH BLVD, HALLANDALE, FL, 33009
ZIP code: 33009
City: Hallandale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Lavandosky Gerald President 1117 EAST HALLANDALE BEACH BLVD, HALLANDALE, FL, 33009
Adler Jason Secretary 3501 JOHNSON STREET, HOLLYWOOD, FL, 33021
Adler Jason Treasurer 3501 JOHNSON STREET, HOLLYWOOD, FL, 33021
Lavandosky Gerald Agent 1117 EAST HALLANDALE BEACH BLVD, HALLANDALE, FL, 33009

National Provider Identifier

NPI Number:
1376272591
Certification Date:
2022-06-06

Authorized Person:

Name:
ALLAN MITCHELL GREISSMAN
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
2080P0202X - Pediatric Cardiology Physician
Is Primary:
No
Selected Taxonomy:
2080P0203X - Pediatric Critical Care Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-03-10 Lavandosky, Gerald -

Documents

Name Date
ANNUAL REPORT 2025-02-10
ANNUAL REPORT 2024-03-10
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-04-15
Domestic Profit 2020-01-10

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Date of last update: 03 Aug 2025

Sources: Florida Department of State