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LUCILLE A VANDEVERE LLC - Florida Company Profile

Company Details

Entity Name: LUCILLE A VANDEVERE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

LUCILLE A VANDEVERE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company 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: 14 Nov 2006 (18 years ago)
Document Number: L06000110281
FEI/EIN Number 205892578

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

Address: 1200 Bennett Rd, Fort Pierce, FL, 34947, US
Mail Address: P.O. BOX 13300, FORT PIERCE, FL, 34979-3300, US
ZIP code: 34947
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649466384 2007-09-17 2018-03-27 PO BOX 13300, FORT PIERCE, FL, 349793300, US 6989 HANCOCK DR, PORT ST LUCIE, FL, 349528207, US

Contacts

Phone +1 772-252-4130
Fax 7726724089

Authorized person

Name LUCILLE ANN VANDEVERE
Role NURSE PRACTITIONER
Phone 7722524130

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
License Number ARNP3283142
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
VANDEVERE LUCILLE A Manager 1200 BENNETT RD, FORT PIERCE, FL, 34947
VANDEVERE DAVID C Manager 1200 BENNETT RD, FORT PIERCE, FL, 34947
VANDEVERE LUCILLE A Agent 1200 Bennett Rd, Fort Pierce, FL, 34947

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000128442 HEALTHCARE SERVICES EXPIRED 2016-11-30 2021-12-31 - P.O. BOX 13300, FORT PIERCE, FL, 34979-3300
G08345900068 HEALTH CARE SERVICES EXPIRED 2008-12-09 2013-12-31 - P.O. BOX 13300, FORT PIERCE, FL, 34979

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-03-10 1200 Bennett Rd, Fort Pierce, FL 34947 -
REGISTERED AGENT ADDRESS CHANGED 2020-03-10 1200 Bennett Rd, Fort Pierce, FL 34947 -
CHANGE OF MAILING ADDRESS 2008-04-22 1200 Bennett Rd, Fort Pierce, FL 34947 -

Documents

Name Date
ANNUAL REPORT 2024-01-24
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-03-10
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-01-22
ANNUAL REPORT 2017-02-05
ANNUAL REPORT 2016-02-01
ANNUAL REPORT 2015-02-18

Date of last update: 01 Mar 2025

Sources: Florida Department of State