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TRICOUNTY PHYSICIANS, LLC - Florida Company Profile

Company Details

Entity Name: TRICOUNTY PHYSICIANS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

TRICOUNTY PHYSICIANS, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 14 Mar 2011 (14 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 21 Oct 2022 (3 years ago)
Document Number: L11000031002
FEI/EIN Number 275560419

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1507 Buenos Aires Blvd, The Villages, FL, 32159, US
Mail Address: 1507 BUENOS AIRES BOULEVARD, THE VILLAGES, FL, 32159, US
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

Key Officers & Management

Name Role Address
VILLA MARIVIC Authorized Member 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 32159
VILLA MARIVIC Agent 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 - 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 32159
G20000009516 VILLA HEALTH SPECIALTY CLINIC ACTIVE 2020-01-21 2025-12-31 - 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 32159

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-10-21 VILLA, MARIVIC -
LC AMENDMENT 2022-10-21 - -
CHANGE OF MAILING ADDRESS 2015-06-29 1507 Buenos Aires Blvd, The Villages, FL 32159 -
LC AMENDMENT 2015-06-29 - -
CHANGE OF PRINCIPAL ADDRESS 2015-02-23 1507 Buenos Aires Blvd, The Villages, FL 32159 -
REGISTERED AGENT ADDRESS CHANGED 2014-10-27 1507 BUENOS AIRES BLVD, THE VILLAGES, FL 32159 -
LC AMENDMENT 2014-10-27 - -
LC DISSOCIATION MEM 2014-08-06 - -

Documents

Name Date
ANNUAL REPORT 2025-01-27
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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5359047310 2020-04-30 0491 PPP 1507 Buenos Aires Blvd, The Villages, FL, 32159
Loan Status Date 2021-03-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 122800
Loan Approval Amount (current) 122800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address The Villages, LAKE, FL, 32159-0001
Project Congressional District FL-06
Number of Employees 20
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 123573.1
Forgiveness Paid Date 2021-02-12
9120958500 2021-03-12 0491 PPS 1507 Buenos Aires Blvd, The Villages, FL, 32159-8974
Loan Status Date 2021-08-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 118594.28
Loan Approval Amount (current) 118594.28
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address The Villages, SUMTER, FL, 32159-8974
Project Congressional District FL-11
Number of Employees 20
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 119006.07
Forgiveness Paid Date 2021-07-20

Date of last update: 01 Apr 2025

Sources: Florida Department of State