Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Lake
    4. ›
  4. 34748
    5. ›
  5. THE VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES, LLC

THE VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES, LLC

Company Details

Entity Name: THE VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 31 Dec 2008 (16 years ago)
Document Number: L09000000527
FEI/EIN Number 26-3978916
Address: 600 EAST DIXIE AVENUE, LEESBURG, FL 34748
Mail Address: 600 EAST DIXIE AVENUE, LEESBURG, FL 34748
ZIP code: 34748
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

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

Contacts
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

Agent

Name Role Address
BRAUN, PHILIP J Agent 715 WEST OAK TERRACE DR, LEESBURG, FL 34748

Managing Member

Name Role
THE VILLAGES TRI-COUNTY MEDICAL CENTER, INC. Managing Member

Fictitious Names

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 No data 410 S CHILDS STREET, LEESBURG, FL, 34748
G24000081515 UF HEALTH MEDICAL GROUP VASCULAR ACTIVE 2024-07-08 2029-12-31 No data 410 S. CHILDS STREET, LEESBURG, FL, 34748
G24000081512 UF HEALTH MEDICAL GROUP WOMEN'S SPECIALISTS ACTIVE 2024-07-08 2029-12-31 No data 410 S. CHILDS STREET, LEESBURG, FL, 34748
G24000081509 UF HEALTH MEDICAL GROUP UROGYNECOLOGY ACTIVE 2024-07-08 2029-12-31 No data 410 S. CHILDS ST, LEESBURG, FL, 34748
G24000073386 UF HEALTH EMERGENCY/URGENT CARE CLERMONT ACTIVE 2024-06-13 2029-12-31 No data 600 E. DIXIE AVE, LEESBURG, FL, 34748
G24000053564 CFH MEDICAL GROUP ACTIVE 2024-04-23 2029-12-31 No data 600 E DIXIE AVE, LEESBURG, FL, 34748
G24000018472 UF HEALTH MEDICAL GROUP MULTISPECIALTY ACTIVE 2024-02-02 2029-12-31 No data 410 S. CHILDS ST., LEESBURG, FL, 34748
G24000018467 UF HEALTH MEDICAL GROUP PRIMARY CARE ACTIVE 2024-02-02 2029-12-31 No data 410 S. CHILDS ST, LEESBURG, FL, 34748
G24000018474 UF HEALTH MEDICAL GROUP MULTISPECIALTY - MOUNT DORA ACTIVE 2024-02-02 2029-12-31 No data 18650 US-441, MOUNT DORA, FL, 32757
G23000154670 UF HEALTH EMERGENCY/URGENT CARE EUSTIS MT. DORA ACTIVE 2023-12-21 2028-12-31 No data 600 E. DIXIE AVE, LEESBURG, FL, 34748

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2014-03-31 715 WEST OAK TERRACE DR, LEESBURG, FL 34748 No data

Documents

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

Related by officers

BRAUN, PHILIP J

LEESBURG REGIONAL MEDICAL CENTER PHYSICIAN SERVICES, LLC ALLIANCE LABS, LLC CENTRAL FLORIDA ONCOLOGY CO-MANAGEMENT COMPANY, LLC CENTRAL FLORIDA CARDIOVASCULAR CO-MANAGEMENT COMPANY, LLC THE VILLAGES REGIONAL HOSPITAL SURGERY CENTER, LLC CENTRAL FLORIDA INPATIENT HOSPITAL CO-MANAGEMENT COMPANY, LLC CARE DELIVERY ALLIANCE, L.L.C. CENTRAL FLORIDA ORTHOPEDIC SURGERY CO-MANAGEMENT COMPANY, LLC THE VILLAGES REGIONAL HOSPITAL AUXILIARY, INC. CHRIS & LORIE HART CORPORATION

Related by address

600 EAST DIXIE AVENUE, LEESBURG, FL 34748

LEESBURG REGIONAL MEDICAL CENTER PHYSICIAN SERVICES, LLC CENTRAL FLORIDA ONCOLOGY CO-MANAGEMENT COMPANY, LLC CENTRAL FLORIDA CARDIOVASCULAR CO-MANAGEMENT COMPANY, LLC CARE DELIVERY ALLIANCE, L.L.C.

600 EAST DIXIE AVENUE, LEESBURG, FL 34748

LEESBURG REGIONAL MEDICAL CENTER PHYSICIAN SERVICES, LLC CENTRAL FLORIDA ONCOLOGY CO-MANAGEMENT COMPANY, LLC CENTRAL FLORIDA CARDIOVASCULAR CO-MANAGEMENT COMPANY, LLC CARE DELIVERY ALLIANCE, L.L.C.

Date of last update: 26 Jan 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated