| Entity Name: | CHARLOTTE HEART & VASCULAR CENTER PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Dec 2022 (2 years ago) |
| Document Number: | P22000094229 |
| FEI/EIN Number | 92-1354205 |
| Address: | 263 GEORGE RD SE, PORT CHARLOTTE, FL 33952 |
| Mail Address: | 263 GEORGE RD SE, PORT CHARLOTTE, FL 33952 |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477266971 | 2022-12-29 | 2022-12-29 | 2484 CARING WAY UNIT F, PORT CHARLOTTE, FL, 339525306, US | 2484 CARING WAY UNIT F, PORT CHARLOTTE, FL, 339525306, US | |||||||||||||
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| Phone | +1 941-246-2482 |
Authorized person
| Name | MARIO J LOPEZ |
| Role | MD/OWNER |
| Phone | 9412462482 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ, MARIO | Agent | 263 GEORGE RD SE, PORT CHARLOTTE, FL 33952 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, MARIO | President | 263 GEORGE RD SE, PORT CHARLOTTE, FL 33952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-09 | 263 GEORGE RD SE, PORT CHARLOTTE, FL 33952 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-09 | 263 GEORGE RD SE, PORT CHARLOTTE, FL 33952 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-09 | 263 GEORGE RD SE, PORT CHARLOTTE, FL 33952 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-10 | 1620 Tamiami Trail Suite 308, PT CHARLOTTE, FL 33948 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-10 | 1620 Tamiami Trail Suite 308, PT CHARLOTTE, FL 33948 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-04-10 |
| Domestic Profit | 2022-12-28 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
