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  5. TRICOUNTY PHYSICIANS, LLC

TRICOUNTY PHYSICIANS, LLC

Company Details

Entity Name: TRICOUNTY PHYSICIANS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 14 Mar 2011 (14 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 21 Oct 2022 (2 years ago)
Document Number: L11000031002
FEI/EIN Number 27-5560419
Address: 1507 Buenos Aires Blvd, The Villages, FL 32159
Mail Address: 1507 BUENOS AIRES BOULEVARD, THE VILLAGES, FL 32159
ZIP code: 32159
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619507431 2020-01-21 2020-01-22 1507 BUENOS AIRES BLVD STE 102, THE VILLAGES, FL, 321598974, US 1507 BUENOS AIRES BLVD STE 102, THE VILLAGES, FL, 321598974, US

Contacts
Phone +1 352-561-6299
Fax 3527508032

Authorized person
Name MARIVIC DELOS REYES VILLA
Role PRESIDENT
Phone 3525616299

Taxonomy
Taxonomy Code 207RP1001X - Pulmonary Disease Physician
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TRICOUNTY PHYSICIANS, LLC. 401(K) PLAN 2023 275560419 2024-06-20 TRICOUNTY PHYSICIANS, LLC. 15
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 3523918319
Plan sponsor’s address 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 321598974

Signature of
Role Plan administrator
Date 2024-06-20
Name of individual signing CHRISTOS VOGIATZIS
Valid signature Filed with authorized/valid electronic signature
TRICOUNTY PHYSICIANS, LLC. 401(K) PLAN 2023 275560419 2024-06-20 TRICOUNTY PHYSICIANS, LLC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 3523918319
Plan sponsor’s address 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 321598974

Signature of
Role Plan administrator
Date 2024-06-20
Name of individual signing CHRISTOS VOGIATZIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-20
Name of individual signing CHRISTOS VOGIATZIS
Valid signature Filed with authorized/valid electronic signature
TRICOUNTY PHYSICIANS, LLC. 401 (K) PLAN 2022 275560419 2023-07-03 TRICOUNTY PHYSICIANS, LLC 13
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 3523918319
Plan sponsor’s address 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 321598974

Signature of
Role Plan administrator
Date 2023-07-03
Name of individual signing CHRISTOS VOGIATZIS
Valid signature Filed with authorized/valid electronic signature
TRICOUNTY PHYSICIANS, LLC. 401 (K) PLAN 2022 275560419 2023-09-18 TRICOUNTY PHYSICIANS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 3523918319
Plan sponsor’s address 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 321598974

Signature of
Role Plan administrator
Date 2023-09-18
Name of individual signing CHRISTOS VOGIATZIS
Valid signature Filed with authorized/valid electronic signature
TRICOUNTY PHYSICIANS, LLC 2019 275560419 2020-04-23 TRICOUNTY PHYSICIANS, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3522330609
Plan sponsor’s address 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 321590000
TRICOUNTY PHYSICIANS, LLC 2018 275560419 2019-10-14 TRICOUNTY PHYSICIANS, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3522330609
Plan sponsor’s address 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 321590000

Agent

Name Role Address
VILLA, MARIVIC Agent 1507 BUENOS AIRES BLVD, THE VILLAGES, FL 32159

Authorized Member

Name Role Address
VILLA, MARIVIC Authorized Member 1507 BUENOS AIRES BLVD, THE VILLAGES, FL 32159

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000126524 VILLA HEALTH CENTER ACTIVE 2022-10-10 2027-12-31 No data 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 32159
G20000009516 VILLA HEALTH SPECIALTY CLINIC ACTIVE 2020-01-21 2025-12-31 No data 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 32159

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-10-21 VILLA, MARIVIC No data
LC AMENDMENT 2022-10-21 No data No data
CHANGE OF MAILING ADDRESS 2015-06-29 1507 Buenos Aires Blvd, The Villages, FL 32159 No data
LC AMENDMENT 2015-06-29 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-02-23 1507 Buenos Aires Blvd, The Villages, FL 32159 No data
REGISTERED AGENT ADDRESS CHANGED 2014-10-27 1507 BUENOS AIRES BLVD, THE VILLAGES, FL 32159 No data
LC AMENDMENT 2014-10-27 No data No data
LC DISSOCIATION MEM 2014-08-06 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-01-09
AMENDED ANNUAL REPORT 2022-12-09
LC Amendment 2022-10-21
ANNUAL REPORT 2022-01-18
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-04-06
ANNUAL REPORT 2017-04-07

Related by officers

VILLA, MARIVIC

OFFICE GROUP, LLC NEWBEST PLLC NEWBEST II LLC MEDVIA LLC VILLA HEALTH PULMONARY LLC BROWNWOOD OFFICE GROUP LLC WCH FLORIDA LLC THIRD LTD ASAP AMERICA LLC LIFE NUTRITIONALES LLC

Related by address

1507 Buenos Aires Blvd, The Villages, FL 32159

OFFICE GROUP, LLC

Date of last update: 24 Jan 2025

Sources: Florida Department of State

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