| Entity Name: | VILLAGE PEDIATRICS OF ST. AUGUSTINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Aug 2007 (18 years ago) |
| Document Number: | L07000081624 |
| FEI/EIN Number | 680656079 |
| Address: | 14344 SILVERTIP COURT, JACKSONVILLE, FL, 32258 |
| Mail Address: | 14344 SILVERTIP COURT, JACKSONVILLE, FL, 32258 |
| ZIP code: | 32258 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164738191 | 2010-08-27 | 2010-08-27 | 319 W TOWN PL, SUITE 1, ST AUGUSTINE, FL, 320923101, US | 319 W TOWN PL, SUITE 1, ST AUGUSTINE, FL, 320923101, US | |||||||||||||||||||
|
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| Phone | +1 904-940-1577 |
| Fax | 9049401916 |
Authorized person
| Name | DR. PATRICIA ELVIR |
| Role | OWNER |
| Phone | 9049401577 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME93245 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| KEVIN S. GREEN, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| PONS PATRICIA E | Managing Member | 14344 SILVERTIP CT, JACKSONVILLE, FL, 32258 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000109020 | VILLAGE PEDIATRICS | ACTIVE | 2021-08-23 | 2026-12-31 | No data | 14344 SILVERTIP COURT, JACKSONVILLE, FL, 32258 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-24 | 4540 SOUTHSIDE BLVD #303, JACKSONVILLE, FL 32216 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-30 | KEVIN S GREEN INC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
