| Entity Name: | SERGIO J. VIGNALI, M.D., LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Jul 2008 (17 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | L08000070274 |
| FEI/EIN Number | 263053170 |
| Address: | 14421 METROPOLIS AV., SUITE 103, FORT MYERS, FL, 33912, US |
| Mail Address: | 11300 LINDBERGH BLVD,, STE 103. PMB 109, FORT MYERS, FL, 33913, US |
| ZIP code: | 33912 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417103425 | 2008-08-10 | 2009-10-23 | 11300 LINDBERGH BLVD, STE 103. PMB 109, FORT MYERS, FL, 339138827, US | 14421 METROPOLIS AVE, SUITE 103, FORT MYERS, FL, 339124323, US | |||||||||||||||||||||||||
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| Phone | +1 239-226-0003 |
| Fax | 2393449942 |
Authorized person
| Name | DR. SERGIO JUAN VIGNALI |
| Role | OWNER |
| Phone | 3052970300 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME97991 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000256300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VIGNALI SERGIO J | Agent | 14421 METROPOLIS AV., FORT MYERS, FL, 33912 |
| Name | Role | Address |
|---|---|---|
| VIGNALI SERGIO J | Manager | 14421 METROPOLIS AV., STE 103, FORT MYERS, FL, 33912 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08213700030 | FEMME CARE | EXPIRED | 2008-07-31 | 2013-12-31 | No data | 480 NE 30 STREET #1401, MIAMI, FL, 33137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-05 | 14421 METROPOLIS AV., SUITE 103, FORT MYERS, FL 33912 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-05 | 14421 METROPOLIS AV., SUITE 103, FORT MYERS, FL 33912 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-24 | 14421 METROPOLIS AV., SUITE 103, FORT MYERS, FL 33912 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-01-05 |
| ANNUAL REPORT | 2009-04-24 |
| Reg. Agent Change | 2008-10-16 |
| Florida Limited Liability | 2008-07-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
