| Entity Name: | UPPERLINE VEIN & VASCULAR-WEST FLORIDA, P.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Feb 2023 (2 years ago) |
| Document Number: | P23000014879 |
| FEI/EIN Number | 92-2417015 |
| Address: | 4101 CHARLOTTE AVENUE, SUITE F185, NASHVILLE, TN 37209 |
| Mail Address: | 4101 CHARLOTTE AVENUE, SUITE F185, NASHVILLE, TN 37209 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174221121 | 2023-02-20 | 2023-02-20 | 4101 CHARLOTTE AVE STE F185, NASHVILLE, TN, 372094066, US | 2835 W DE LEON ST STE 101, TAMPA, FL, 336094130, US | |||||||||||||
|
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| Phone | +1 813-254-4747 |
Authorized person
| Name | MICHAEL KING |
| Role | PRESIDENT |
| Phone | 6156272204 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| KING, MICHAEL | President | 4101 CHARLOTTE AVENUE, SUITE F185, NASHVILLE, TN 37209 |
| Name | Role | Address |
|---|---|---|
| RATE, KYLE | Secretary | 4101 CHARLOTTE AVENUE, SUITE F185, NASHVILLE, TN 37209 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| Domestic Profit | 2023-02-17 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
