| Entity Name: | MILLENNIUM CARDIOVASCULAR ASSOCIATES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Sep 2022 (2 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 28 Sep 2022 (2 years ago) |
| Document Number: | P22000073329 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 5115 HANOVER LANE, LAKELAND, FL, 33813, US |
| Mail Address: | 5115 HANOVER LANE, LAKELAND, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013633072 | 2022-10-12 | 2023-01-17 | 901 VENETIA BAY BLVD STE 200, VENICE, FL, 342858046, US | 901 VENETIA BAY BLVD STE 200, VENICE, FL, 342858046, US | |||||||||||||||||
|
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| Phone | +1 941-497-5511 |
Authorized person
| Name | SABRY OMAR |
| Role | PRESIDENT |
| Phone | 2134794451 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZAFAR SYED U | Agent | 4900 SW 74TH COURT, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| OMAR SABRY DR | President | 5115 HANOVER LANE, LAKELAND, FL, 33813 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000061657 | CARDIOVASCULAR ASSOCIATES OF VENICE AND SARASOTA | ACTIVE | 2024-05-10 | 2029-12-31 | No data | 5115 HANOVER LANE, LAKELAND, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-07-13 |
| Amendment | 2022-09-28 |
| Domestic Profit | 2022-09-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
