| Entity Name: | FLORIDA INTERVENTIONAL INSTITUTE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 May 2024 (9 months ago) |
| Document Number: | P24000033433 |
| FEI/EIN Number | 993078647 |
| Mail Address: | 4310 SHERIDAN ST., 202, HOLLYWOOD, FL, 33021, US |
| Address: | 7369 Sheridan St, HOLLYWOOD, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588404198 | 2024-05-30 | 2024-05-30 | 7369 SHERIDAN ST STE 300A, HOLLYWOOD, FL, 330242776, US | 7369 SHERIDAN ST STE 300A, HOLLYWOOD, FL, 330242776, US | |||||||||||||||
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| Phone | +1 773-656-3386 |
| Phone | +1 305-440-0720 |
Authorized person
| Name | PRASOON POOZHIKUNNATH MOHAN |
| Role | OWNER |
| Phone | 7736563386 |
Taxonomy
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BURTON ANDRE | Agent | 4310 SHERIDAN ST, HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| POOZHIKUNNATH MOHAN PRASOON | President | 13109 SW 43 ST., DAVIE, FL, 33330 |
| Name | Role | Address |
|---|---|---|
| POOZHIKUNNATH MOHAN PRASOON | Secretary | 13109 SW 43 ST., DAVIE, FL, 33330 |
| Name | Role | Address |
|---|---|---|
| POOZHIKUNNATH MOHAN PRASOON | Director | 13109 SW 43 ST., DAVIE, FL, 33330 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-12-09 | 7369 Sheridan St, Ste 300, HOLLYWOOD, FL 33024 | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2024-05-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
