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ATLAS VEIN CARE SPECIALISTS PA

Company Details

Entity Name: ATLAS VEIN CARE SPECIALISTS PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Oct 2020 (4 years ago)
Document Number: P20000081778
FEI/EIN Number 85-3544402
Address: 2020 HWY A1A, Indian Harbour Beach, FL, 32937, US
Mail Address: 2636 MCDONALD TERRACE, MOUNT DORA, FL, 32757, US
ZIP code: 32937
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144816976 2020-12-16 2021-07-27 2636 MCDONALD TER, MOUNT DORA, FL, 327574715, US 2020 HIGHWAY A1A STE 110, INDIAN HARBOUR BEACH, FL, 329373581, US

Contacts

Phone +1 850-554-8182
Phone +1 321-978-8348

Authorized person

Name ZAHER ELMIR
Role PRESIDENT
Phone 3219788348

Taxonomy

Taxonomy Code 2086S0129X - Vascular Surgery Physician
Is Primary Yes
Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
Is Primary No

Agent

Name Role Address
ELMIR ZAHER Agent 2636 MCDONALD TERRACE, MOUNT DORA, FL, 32757

President

Name Role Address
ELMIR ZAHER President 702 NE 11th Ave, Gainesville, FL, 32601

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-01-28 2020 HWY A1A, 110, Indian Harbour Beach, FL 32937 No data

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-02-06
ANNUAL REPORT 2022-03-06
ANNUAL REPORT 2021-01-28
Domestic Profit 2020-10-12

Date of last update: 02 Feb 2025

Sources: Florida Department of State