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VILLANUEVA MEDICAL GROUP, LLC - Florida Company Profile

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Company Details

Entity Name: VILLANUEVA MEDICAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Mar 2012 (13 years ago)
Document Number: L12000043570
FEI/EIN Number 45-4944358
Address: 1451 NE 4TH AVE, FORT LAUDERDALE, FL, 333041033, US
Mail Address: 1180 N Federal Highway Suite 504, Fort Lauderdale, FL, 33304, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VILLANUEVA RAUL Managing Member 1180 N Federal Highway Suite 504, Fort Lauderdale, FL, 33304
VILLANUEVA RAUL Agent 1180 N Federal Highway Suite 504, Fort Lauderdale, FL, 33304

National Provider Identifier

NPI Number:
1609120666
Certification Date:
2023-07-21

Authorized Person:

Name:
RAUL VILLANUEVA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RI0200X - Infectious Disease Physician
Is Primary:
Yes

Contacts:

Fax:
9542710135

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-24 1451 NE 4TH AVE, FORT LAUDERDALE, FL 333041033 -
CHANGE OF MAILING ADDRESS 2023-04-24 1451 NE 4TH AVE, FORT LAUDERDALE, FL 333041033 -
REGISTERED AGENT ADDRESS CHANGED 2023-04-24 1180 N Federal Highway Suite 504, 504, Fort Lauderdale, FL 33304 -

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-20
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-06-15
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-04-09
ANNUAL REPORT 2017-04-12
ANNUAL REPORT 2016-03-31
ANNUAL REPORT 2015-03-20

USAspending Awards / Financial Assistance

Date:
2020-05-04
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
20833.00
Total Face Value Of Loan:
20833.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$20,833
Date Approved:
2020-05-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,833
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$21,016.79
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $20,833

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Date of last update: 01 Aug 2025

Sources: Florida Department of State