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  5. FLORIDA CARDIAC CONSULTANTS, INC.

FLORIDA CARDIAC CONSULTANTS, INC.

Company Details

Entity Name: FLORIDA CARDIAC CONSULTANTS, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 16 Dec 1991 (33 years ago)
Last Event: AMENDMENT
Event Date Filed: 07 Apr 1995 (30 years ago)
Document Number: S99934
FEI/EIN Number 65-0303477
Address: 1540 S. TAMIAMI TRAIL #401, SARASOTA, FL 34239
Mail Address: 1540 S. TAMIAMI TRAIL #401, SARASOTA, FL 34239
ZIP code: 34239
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144484502 2008-07-15 2023-05-09 1540 S TAMIAMI TRL STE 401, SARASOTA, FL, 342392921, US 1540 S TAMIAMI TRL, SUITE 401, SARASOTA, FL, 342392940, US

Contacts
Phone +1 941-917-0060

Authorized person
Name MARK SPETSIOS
Role ADMINISTRATOR
Phone 9419170060

Taxonomy
Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary Yes

Other Provider Identifiers
Issuer RAILROAD MEDICARE
Number CA6910
State FL
Issuer MEDICAID
Number 057520800
State FL
Issuer BLUE CROSS/BLUE SHIELD
Number 98788
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA CARDIAC CONSULTANTS, INC. 401(K) PLAN 2023 650303477 2024-10-25 FLORIDA CARDIAC CONSULTANTS, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9419170060
Plan sponsor’s address 1540 S. TAMIAMI TRAIL SUITE 401, SARASOTA, FL, 342392921
FLORIDA CARDIAC CONSULTANTS, INC. 401(K) PLAN 2022 650303477 2023-12-05 FLORIDA CARDIAC CONSULTANTS, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9419170060
Plan sponsor’s address 1540 S. TAMIAMI TRAIL SUITE 401, SARASOTA, FL, 342392921
FLORIDA CARDIAC CONSULTANTS, INC. 401(K) PLAN 2021 650303477 2022-10-20 FLORIDA CARDIAC CONSULTANTS, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9419170060
Plan sponsor’s address 1540 S. TAMIAMI TRAIL SUITE 401, SARASOTA, FL, 342392921
FLORIDA CARDIAC CONSULTANTS, INC. 401(K) PLAN 2020 650303477 2021-07-14 FLORIDA CARDIAC CONSULTANTS, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9419170060
Plan sponsor’s address 1540 S. TAMIAMI TRAIL SUITE 401, SARASOTA, FL, 342392921
FLORIDA CARDIAC CONSULTANTS, INC. 401(K) PLAN 2019 650303477 2020-07-14 FLORIDA CARDIAC CONSULTANTS, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9419170060
Plan sponsor’s address 1540 S. TAMIAMI TRAIL SUITE 401, SARASOTA, FL, 342392921
FLORIDA CARDIAC CONSULTANTS, INC. 401(K) PLAN 2018 650303477 2019-07-08 FLORIDA CARDIAC CONSULTANTS, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9419170060
Plan sponsor’s address 1540 S. TAMIAMI TRAIL SUITE 401, SARASOTA, FL, 342392921
FLORIDA CARDIAC CONSULTANTS, INC. 401(K) PLAN 2017 650303477 2018-04-19 FLORIDA CARDIAC CONSULTANTS, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9419170060
Plan sponsor’s address 1540 S. TAMIAMI TRAIL SUITE 401, SARASOTA, FL, 342392921
FLORIDA CARDIAC CONSULTANTS, INC. 401(K) PLAN 2016 650303477 2017-07-27 FLORIDA CARDIAC CONSULTANTS, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9419170060
Plan sponsor’s address 1540 S. TAMIAMI TRAIL SUITE 401, SARASOTA, FL, 342392921
FLORIDA CARDIAC CONSULTANTS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2015 650303477 2016-08-09 FLORIDA CARDIAC CONSULTANTS, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9419170060
Plan sponsor’s address 1540 S. TAMIAMI TRAIL SUITE 401, SARASOTA, FL, 342392921
FLORIDA CARDIAC CONSULTANTS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2014 650303477 2015-06-25 FLORIDA CARDIAC CONSULTANTS, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9419170060
Plan sponsor’s address 1540 S. TAMIAMI TRAIL SUITE 401, SARASOTA, FL, 342392921

Signature of
Role Plan administrator
Date 2015-06-25
Name of individual signing JAMES J. FOX, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SPETSIOS, MARK J Agent 1540 S. TAMIAMI TRAIL #401, SARASOTA, FL 34239

Director

Name Role Address
Fox, James J, Dr. Director 1540 S. TAMIAMI TRAIL #401, SARASOTA, FL 34239
Pacifico, Daniel S, Dr. Director 1540 S. TAMIAMI TRAIL #401, SARASOTA, FL 34239

President

Name Role Address
Fox, James J, Dr. President 1540 S. TAMIAMI TRAIL #401, SARASOTA, FL 34239

Vice President

Name Role Address
Pacifico, Daniel S, Dr. Vice President 1540 S. TAMIAMI TRAIL #401, SARASOTA, FL 34239

Shareholder

Name Role Address
Heckendorn, Jason A Shareholder 1540 S. TAMIAMI TRAIL #401, SARASOTA, FL 34239
Espinosa Ginic, Martin A Shareholder 1540 S. TAMIAMI TRAIL #401, SARASOTA, FL 34239

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2025-01-24 SPETSIOS, MARK J No data
REGISTERED AGENT ADDRESS CHANGED 2025-01-24 1540 S. TAMIAMI TRAIL #401, SARASOTA, FL 34239 No data
CHANGE OF PRINCIPAL ADDRESS 2007-01-10 1540 S. TAMIAMI TRAIL #401, SARASOTA, FL 34239 No data
CHANGE OF MAILING ADDRESS 2007-01-10 1540 S. TAMIAMI TRAIL #401, SARASOTA, FL 34239 No data
AMENDMENT 1995-04-07 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-24
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-14
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-09
Reg. Agent Change 2016-03-14

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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