| Entity Name: | PMG CARDIOLOGY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Mar 1999 (26 years ago) |
| Document Number: | P99000030157 |
| FEI/EIN Number | 65-0909561 |
| Address: | 1301 Concord Terrace, Sunrise, FL, 33323, US |
| Mail Address: | 1301 Concord Terrace, Sunrise, FL, 33323, US |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972522100 | 2006-07-19 | 2011-04-22 | 1301 CONCORD TER, SUNRISE, FL, 333232843, US | 1301 CONCORD TER, SUNRISE, FL, 333232843, US | |||||||||||||||
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| Phone | +1 954-384-0175 |
| Fax | 9548511948 |
Authorized person
| Name | ALAN B. OLIVER |
| Role | AUTHORIZED SIGNATOR |
| Phone | 9543840175 |
Taxonomy
| Taxonomy Code | 2080P0202X - Pediatric Cardiology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Wood Lee A | President | 1301 Concord Terrace, Sunrise, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| Rossi Kasandra | Treasurer | 1301 Concord Terrace, Sunrise, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| Santana Michael R. | Secretary | 1301 Concord Terrace, Sunrise, FL, 33323 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000020965 | PEDIATRIX CARDIOLOGY OF ORLANDO | ACTIVE | 2011-02-25 | 2026-12-31 | No data | 1301 CONCORD TERRACE, SUNRISE, FL, 33323 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
