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FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, P.A. - Florida Company Profile

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Company Details

Entity Name: FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 04 May 1998 (27 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 31 Jul 2006 (19 years ago)
Document Number: P98000040173
FEI/EIN Number 593516436

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 511 MEDICAL PLAZA DR #101, LEESBURG, FL, 34748
Mail Address: 511 MEDICAL PLAZA DR #101, LEESBURG, FL, 34748
ZIP code: 34748
City: Leesburg
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LEW DAVID C Director 511 MEDICAL PLAZA DR., STE. 101, LEESBURG, FL, 34748
ROSADO JOSE R Director 511 MEDICAL PLAZA DR., STE. 101, LEESBURG, FL, 34748
Dusseau Michael Chief Financial Officer 511 MEDICAL PLAZA DR #101, LEESBURG, FL, 34748
LEW DAVID C Agent 511 MEDICAL PLAZA DR STE 101, LEESBURG, FL, 34748

National Provider Identifier

NPI Number:
1427698661
Certification Date:
2020-01-15

Authorized Person:

Name:
JACKIE FAUNDA
Role:
DIRECTOR OF OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3527281743

Form 5500 Series

Employer Identification Number (EIN):
593516436
Plan Year:
2020
Number Of Participants:
97
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000075673 FHV HEALTH EXPIRED 2018-07-11 2023-12-31 - 511 MEDICAL PLAZA DRIVE, SUITE 101, LEESBURG, FL, 34748
G06240900377 FLORIDA HEART & VASCULAR CENTER ACTIVE 2006-08-28 2026-12-31 - 511 MEDICAL PLAZA DRIVE, SUITE 101, LEESBURG, FL, 34748

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 2006-07-31 FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, P.A. -
CANCEL ADM DISS/REV 2005-10-04 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 - -
REINSTATEMENT 2004-12-08 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 - -
NAME CHANGE AMENDMENT 2001-04-17 FLORIDA HEART & VASCULAR CENTER, P.A. -
REGISTERED AGENT ADDRESS CHANGED 2000-03-02 511 MEDICAL PLAZA DR STE 101, LEESBURG, FL 34748 -
CHANGE OF PRINCIPAL ADDRESS 1999-03-08 511 MEDICAL PLAZA DR #101, LEESBURG, FL 34748 -
CHANGE OF MAILING ADDRESS 1999-03-08 511 MEDICAL PLAZA DR #101, LEESBURG, FL 34748 -

Documents

Name Date
ANNUAL REPORT 2024-01-17
ANNUAL REPORT 2023-02-14
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-01-26
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-04-29

Paycheck Protection Program

Jobs Reported:
184
Initial Approval Amount:
$1,957,600
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,957,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$1,976,317.87
Servicing Lender:
Citizens First Bank
Use of Proceeds:
Payroll: $1,957,600

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Date of last update: 01 Jul 2025

Sources: Florida Department of State