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BRADENTON HEART CENTER, P.A.

Company Details

Entity Name: BRADENTON HEART CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 01 Feb 1996 (29 years ago)
Document Number: P96000011340
FEI/EIN Number 593362711
Address: 2010 59TH STREET W., SUITE 4200, BRADENTON, FL, 34209
Mail Address: 2010 59TH STREET W., SUITE 4200, BRADENTON, FL, 34209
ZIP code: 34209
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356364525 2006-07-26 2008-12-11 2010 59TH ST W, SUITE 4200, BRADENTON, FL, 342094616, US 2010 59TH ST W, SUITE 4200, BRADENTON, FL, 342094616, US

Contacts

Phone +1 941-794-3999
Fax 9417924048

Authorized person

Name MR. RAJ T RAJAN
Role OWNER
Phone 9417943999

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
License Number ME0059046
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 375960100
State FL
Issuer MEDICARE RAILROAD CARRIER
Number DH2049
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRADENTON HEART CENTER, P.A. 401(K) PROFIT SHARING PLAN 2013 593362711 2014-07-28 BRADENTON HEART CENTER, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 9417943999
Plan sponsor’s address 2010 59TH STREET WEST, SUITE 4200, BRADENTON, FL, 34209

Signature of

Role Plan administrator
Date 2014-07-28
Name of individual signing RAJ RAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-28
Name of individual signing RAJ RAJAN
Valid signature Filed with authorized/valid electronic signature
BRADENTON HEART CENTER, P.A. 401K PROFIT SHARING PLAN 2013 593362711 2014-07-15 BRADENTON HEART CENTER, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 9417943999
Plan sponsor’s address 2010 59TH STREET WEST, SUITE 4200, BRADENTON, FL, 34209

Signature of

Role Plan administrator
Date 2014-07-15
Name of individual signing RAJ RAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-15
Name of individual signing RAJ RAJAN
Valid signature Filed with authorized/valid electronic signature
BRADENTON HEART CENTER, P.A. CASH BALANCE PENSION PLAN 2012 593362711 2013-12-30 BRADENTON HEART CENTER, P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9417943999
Plan sponsor’s address 2010 59TH STREET WEST, SUITE 4200, BRADENTON, FL, 34209

Signature of

Role Plan administrator
Date 2013-12-30
Name of individual signing RAJ RAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-12-30
Name of individual signing RAJ RAJAN
Valid signature Filed with authorized/valid electronic signature
BRADENTON HEART CENTER, P.A. 401K PROFIT SHARING PLAN 2012 593362711 2013-10-15 BRADENTON HEART CENTER, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 9417943999
Plan sponsor’s address 2010 59TH STREET WEST, SUITE 4200, BRADENTON, FL, 34209

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing RAJ RAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing RAJ RAJAN
Valid signature Filed with authorized/valid electronic signature
BRADENTON HEART CENTER, P.A. CASH BALANCE PENSION PLAN 2012 593362711 2013-10-15 BRADENTON HEART CENTER P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9417943999
Plan sponsor’s address 2010 59TH STREET WEST, SUITE 4200, BRADENTON, FL, 34209

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing RAJ RAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing RAJ RAJAN
Valid signature Filed with authorized/valid electronic signature
BRADENTON HEART CENTER, P.A. 401K PROFIT SHARING PLAN 2011 593362711 2012-10-16 BRADENTON HEART CENTER, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 9417943999
Plan sponsor’s address 2010 59TH STREET WEST, SUITE 4200, BRADENTON, FL, 34209

Plan administrator’s name and address

Administrator’s EIN 593362711
Plan administrator’s name BRADENTON HEART CENTER, P.A.
Plan administrator’s address 2010 59TH STREET WEST, SUITE 4200, BRADENTON, FL, 34209
Administrator’s telephone number 9417943999

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing RAJ T RAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing RAJ T RAJAN
Valid signature Filed with authorized/valid electronic signature
BRADENTON HEART CENTER, P.A. CASH BALANCE PENSION PLAN 2011 593362711 2012-10-16 BRADENTON HEART CENTER P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9417943999
Plan sponsor’s address 2010 59TH STREET WEST, SUITE 4200, BRADENTON, FL, 34209

Plan administrator’s name and address

Administrator’s EIN 593362711
Plan administrator’s name BRADENTON HEART CENTER P.A.
Plan administrator’s address 2010 59TH STREET WEST, SUITE 4200, BRADENTON, FL, 34209
Administrator’s telephone number 9417943999

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing RAJ T RAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing RAJ T RAJAN
Valid signature Filed with authorized/valid electronic signature
BRADENTON HEART CENTER, P.A. 401K PROFIT SHARING PLAN 2010 593362711 2011-10-11 BRADENTON HEART CENTER, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 9417943999
Plan sponsor’s address 2010 59TH STREET WEST, SUITE 4200, BRADENTON, FL, 34209

Plan administrator’s name and address

Administrator’s EIN 593362711
Plan administrator’s name BRADENTON HEART CENTER, P.A.
Plan administrator’s address 2010 59TH STREET WEST, SUITE 4200, BRADENTON, FL, 34209
Administrator’s telephone number 9417943999

Signature of

Role Plan administrator
Date 2011-10-11
Name of individual signing RAJ T. RAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-11
Name of individual signing RAJ T. RAJAN
Valid signature Filed with authorized/valid electronic signature
BRADENTON HEART CENTER, P.A. CASH BALANCE PENSION PLAN 2010 593362711 2011-08-30 BRADENTON HEART CENTER P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9417943999
Plan sponsor’s address 2010 59TH STREET WEST, SUITE 4200, BRADENTON, FL, 34209

Plan administrator’s name and address

Administrator’s EIN 593362711
Plan administrator’s name BRADENTON HEART CENTER P.A.
Plan administrator’s address 2010 59TH STREET WEST, SUITE 4200, BRADENTON, FL, 34209
Administrator’s telephone number 9417943999

Signature of

Role Plan administrator
Date 2011-08-30
Name of individual signing RAJ RAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-30
Name of individual signing RAJ RAJAN
Valid signature Filed with authorized/valid electronic signature
BRADENTON HEART CENTER, P.A. 401K PROFIT SHARING PLAN 2009 593362711 2010-10-12 BRADENTON HEART CENTER, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 9417943999
Plan sponsor’s address 2010 59TH STREET WEST, SUITE 4200, BRADENTON, FL, 34209

Plan administrator’s name and address

Administrator’s EIN 593362711
Plan administrator’s name BRADENTON HEART CENTER, P.A.
Plan administrator’s address 2010 59TH STREET WEST, SUITE 4200, BRADENTON, FL, 34209
Administrator’s telephone number 9417943999

Signature of

Role Plan administrator
Date 2010-10-12
Name of individual signing RAJ T. RAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing RAJ T. RAJAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RAJAN RAJ T Agent 905 RIVIERA DUNES DRIVE, PALMETTO, FL, 34211

Manager

Name Role Address
RAJAN RAJ TDr. Manager 2010 59TH STREET W., BRADENTON, FL, 34209

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CANCEL ADM DISS/REV 2005-01-03 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 No data No data
NAME CHANGE AMENDMENT 2003-03-24 BRADENTON HEART CENTER, P.A. No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State