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FLORIDA CARDIOVASCULAR INSTITUTE, P.A. - Florida Company Profile

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Company Details

Entity Name: FLORIDA CARDIOVASCULAR INSTITUTE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 02 Feb 1998 (28 years ago)
Date of dissolution: 01 Jun 2017 (8 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 01 Jun 2017 (8 years ago)
Document Number: P98000011123
FEI/EIN Number 593536733
Address: 509 S ARMENIA AVE, STE 200, TAMPA, FL, 33609
Mail Address: 509 S ARMENIA AVE, STE 200, TAMPA, FL, 33609
ZIP code: 33609
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MATAR FADI A Vice President 509 S. ARMENIA AVE, STE 200, TAMPA, FL, 33609
FERNANDEZ JOEL President 509 S. ARMENIA AVE, STE 200, TAMPA, FL, 33609
DANY SAYAD Treasurer 509 S. ARMENIA AVE, STE 200, TAMPA, FL, 33609
RAMIREZ JOHN D Secretary 509 S. ARMENIA AVE, STE 200, TAMPA, FL, 33609
FERNANDEZ JOEL M Agent 509 S. ARMENIA AVE, STE 200, TAMPA, FL, 33609

National Provider Identifier

NPI Number:
1447277322

Authorized Person:

Name:
DR. JOHN THOMPSON SULLEBARGER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
8133530485

Form 5500 Series

Employer Identification Number (EIN):
593536733
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
34
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
40
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2017-06-01 - -
REGISTERED AGENT NAME CHANGED 2017-04-08 FERNANDEZ, JOEL MD -
REGISTERED AGENT ADDRESS CHANGED 2006-04-27 509 S. ARMENIA AVE, STE 200, TAMPA, FL 33609 -
CHANGE OF PRINCIPAL ADDRESS 2005-04-26 509 S ARMENIA AVE, STE 200, TAMPA, FL 33609 -
CHANGE OF MAILING ADDRESS 2005-04-26 509 S ARMENIA AVE, STE 200, TAMPA, FL 33609 -
AMENDMENT 1999-10-12 - -
AMENDMENT AND NAME CHANGE 1998-10-16 FLORIDA CARDIOVASCULAR INSTITUTE, P.A. -

Documents

Name Date
Voluntary Dissolution 2017-06-01
ANNUAL REPORT 2017-04-08
ANNUAL REPORT 2016-02-06
ANNUAL REPORT 2015-02-16
ANNUAL REPORT 2014-01-30
ANNUAL REPORT 2013-04-10
ANNUAL REPORT 2012-02-13
ANNUAL REPORT 2011-03-16
ANNUAL REPORT 2010-04-06
ANNUAL REPORT 2009-03-24

Trademarks

Serial Number:
75729354
Status:
Registration cancelled because registrant did not file an acceptable declaration under Section 8. To view all documents in this file, click on the Trademark Document Retrieval link at the top of this page.
Mark Type:
Service Mark
Application Filing Date:
1999-06-10
Mark Drawing Type:
2 - AN ILLUSTRATION DRAWING WITHOUT ANY WORDS(S)/ LETTER(S) /NUMBER(S)
Mark Literal Elements:
None

Goods And Services

For:
MEDICAL SERVICES
First Use:
1999-03-16
International Classes:
042 - Primary Class
Class Status:
SECTION 8 - CANCELLED

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Date of last update: 02 Aug 2025

Sources: Florida Department of State