| Entity Name: | VILLAGE DERMATOLOGY AND COSMETIC SURGERY, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Apr 2004 (21 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 03 Jul 2017 (8 years ago) |
| Document Number: | L04000025019 |
| FEI/EIN Number | 450537908 |
| Mail Address: | PO Box 586, Oxford, FL, 34484, US |
| Address: | 1950 LAUREL MANOR DRIVE, BLDG 220, SUITE # 224, THE VILLAGES, FL, 32162, US |
| ZIP code: | 32162 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013098755 | 2006-10-18 | 2019-10-11 | 1950 LAUREL MANOR DR, BUILDING 220, SUITE 224, THE VILLAGES, FL, 321625603, US | 1950 LAUREL MANOR DR, BUILDING 220, SUITE 224, THE VILLAGES, FL, 32162, US | |||||||||||||||||||
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| Phone | +1 352-751-6565 |
| Fax | 3522057777 |
Authorized person
| Name | THI THIEN TRAN |
| Role | OWNER/PHYSICIAN |
| Phone | 3527516565 |
Taxonomy
| Taxonomy Code | 207NS0135X - Procedural Dermatology Physician |
| License Number | OS8364 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Tran Thi | Agent | 1950 LAUREL MANOR DR., STE. 224, THE VILLAGES, FL, 32162 |
| Name | Role | Address |
|---|---|---|
| TRAN THI T | Manager | 2080 SW 76TH LANE, OCALA, FL, 34476 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-01-24 | 1950 LAUREL MANOR DRIVE, BLDG 220, SUITE # 224, THE VILLAGES, FL 32162 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-24 | Tran, Thi | No data |
| LC AMENDMENT | 2017-07-03 | No data | No data |
| LC AMENDMENT | 2017-03-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-04 | 1950 LAUREL MANOR DR., STE. 224, THE VILLAGES, FL 32162 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-14 | 1950 LAUREL MANOR DRIVE, BLDG 220, SUITE # 224, THE VILLAGES, FL 32162 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-22 |
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-01-15 |
| ANNUAL REPORT | 2018-01-29 |
| LC Amendment | 2017-07-03 |
| LC Amendment | 2017-03-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
