| Entity Name: | THE VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
THE VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES, 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. |
| 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: | 31 Dec 2008 (16 years ago) |
| Document Number: | L09000000527 |
| FEI/EIN Number |
263978916
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 600 EAST DIXIE AVENUE, LEESBURG, FL, 34748, US |
| Mail Address: | 600 EAST DIXIE AVENUE, LEESBURG, FL, 34748, US |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700669926 | 2023-08-14 | 2023-08-14 | 600 E DIXIE AVE, LEESBURG, FL, 347485925, US | 600 E DIXIE AVE, LEESBURG, FL, 347485925, US | |||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 352-323-5001 |
Authorized person
| Name | HEATHER LONG |
| Role | CEO |
| Phone | 3523235001 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 207LC0200X - Critical Care Medicine (Anesthesiology) Physician |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | No |
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| THE VILLAGES TRI-COUNTY MEDICAL CENTER, INC. | Managing Member | - |
| BRAUN PHILIP J | Agent | 715 WEST OAK TERRACE DR, LEESBURG, FL, 34748 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000090019 | UF HEALTH MEDICAL GROUP MULTISPECIALTY SUMMERFIELD | ACTIVE | 2024-07-29 | 2029-12-31 | - | 410 S CHILDS STREET, LEESBURG, FL, 34748 |
| G24000081515 | UF HEALTH MEDICAL GROUP VASCULAR | ACTIVE | 2024-07-08 | 2029-12-31 | - | 410 S. CHILDS STREET, LEESBURG, FL, 34748 |
| G24000081512 | UF HEALTH MEDICAL GROUP WOMEN'S SPECIALISTS | ACTIVE | 2024-07-08 | 2029-12-31 | - | 410 S. CHILDS STREET, LEESBURG, FL, 34748 |
| G24000081509 | UF HEALTH MEDICAL GROUP UROGYNECOLOGY | ACTIVE | 2024-07-08 | 2029-12-31 | - | 410 S. CHILDS ST, LEESBURG, FL, 34748 |
| G24000073386 | UF HEALTH EMERGENCY/URGENT CARE CLERMONT | ACTIVE | 2024-06-13 | 2029-12-31 | - | 600 E. DIXIE AVE, LEESBURG, FL, 34748 |
| G24000053564 | CFH MEDICAL GROUP | ACTIVE | 2024-04-23 | 2029-12-31 | - | 600 E DIXIE AVE, LEESBURG, FL, 34748 |
| G24000018472 | UF HEALTH MEDICAL GROUP MULTISPECIALTY | ACTIVE | 2024-02-02 | 2029-12-31 | - | 410 S. CHILDS ST., LEESBURG, FL, 34748 |
| G24000018467 | UF HEALTH MEDICAL GROUP PRIMARY CARE | ACTIVE | 2024-02-02 | 2029-12-31 | - | 410 S. CHILDS ST, LEESBURG, FL, 34748 |
| G24000018474 | UF HEALTH MEDICAL GROUP MULTISPECIALTY - MOUNT DORA | ACTIVE | 2024-02-02 | 2029-12-31 | - | 18650 US-441, MOUNT DORA, FL, 32757 |
| G23000154670 | UF HEALTH EMERGENCY/URGENT CARE EUSTIS MT. DORA | ACTIVE | 2023-12-21 | 2028-12-31 | - | 600 E. DIXIE AVE, LEESBURG, FL, 34748 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-31 | 715 WEST OAK TERRACE DR, LEESBURG, FL 34748 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-03-03 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-04-01 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
