| Entity Name: | V.J. DILELLA, D.O., L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Apr 2002 (23 years ago) |
| Document Number: | L02000010366 |
| FEI/EIN Number | 753050953 |
| Address: | 703 VIRGINIA ST., DUNEDIN, FL, 34698, US |
| Mail Address: | 703 VIRGINIA ST., DUNEDIN, FL, 34698, US |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265420541 | 2005-10-11 | 2015-01-21 | 703 VIRGINIA ST, DUNEDIN, FL, 346986615, US | 703 VIRGINIA ST, DUNEDIN, FL, 346986615, US | |||||||||||||||||||||||||||||||
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| Phone | +1 727-734-4000 |
| Fax | 7277385037 |
Authorized person
| Name | VINCENT J. DILELLA |
| Role | PRESIDENT |
| Phone | 7277344000 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS0006347 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 21762 |
| State | FL |
| Issuer | MEDICAID |
| Number | 268202800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DILELLA VINCENT J | Agent | 703 VIRGINIA ST, DUNEDIN, FL, 34698 |
| Name | Role | Address |
|---|---|---|
| DILELLA VINCENT J | Manager | 703 VIRGINIA ST., DUNEDIN, FL, 34698 |
| Name | Role | Address |
|---|---|---|
| DiLella Lynne | Auth | 703 VIRGINIA ST., DUNEDIN, FL, 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-26 | 703 VIRGINIA ST., DUNEDIN, FL 34698 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-26 | 703 VIRGINIA ST., DUNEDIN, FL 34698 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-04-26 | DILELLA, VINCENT J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-26 | 703 VIRGINIA ST, DUNEDIN, FL 34698 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-03-07 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-01-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
