| Entity Name: | THE VAIN CLINIC, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Dec 2006 (18 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L06000115420 |
| FEI/EIN Number | 264060826 |
| Address: | 1599 SE Lennard Road, PORT ST. LUCIE, FL, 34952, US |
| Mail Address: | 6405 Oleander Ave, Ft Pierce, FL, 34982, US |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538385885 | 2007-04-17 | 2016-05-10 | 1599 SE LENNARD RD, PORT ST LUCIE, FL, 349526542, US | 1599 SE LENNARD RD, PORT ST LUCIE, FL, 349526542, US | |||||||||||||||||||||||||
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| Phone | +1 772-871-8922 |
| Fax | 7728718928 |
Authorized person
| Name | PAMELA ROBERTS |
| Role | OWNER PHYSICIAN |
| Phone | 7728718922 |
Taxonomy
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| License Number | ME63493 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME63493 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROBERTS PAMELA M | Agent | 6405 Oleander Ave, Ft Pierce, FL, 34982 |
| Name | Role | Address |
|---|---|---|
| ROBERTS PAMELA | Director | 6405 Oleander Ave, Ft Pierce, FL, 34982 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-22 | 1599 SE Lennard Road, PORT ST. LUCIE, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-22 | 1599 SE Lennard Road, PORT ST. LUCIE, FL 34952 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-22 | 6405 Oleander Ave, Ft Pierce, FL 34982 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-03-06 | ROBERTS, PAMELA M.D. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-05-20 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-03-03 |
| ANNUAL REPORT | 2013-04-22 |
| ANNUAL REPORT | 2012-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
