| Entity Name: | MARTINEZ-CRUZ MEDICAL ASSOCIATES OF THE VILLAGES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Apr 2013 (12 years ago) |
| Document Number: | L13000047458 |
| FEI/EIN Number | 46-2495566 |
| Address: | 741 Hwy 466, Lady Lake, FL, 32159-6340, US |
| Mail Address: | 741 Hwy 466, Lady Lake, FL, 32159-6340, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003259946 | 2013-04-10 | 2015-03-11 | 1400 N US HIGHWAY 441, BLDG 920 STE 922, THE VILLAGES, FL, 321598975, US | 1400 N US HIGHWAY 441, BLDG 920 STE 922, THE VILLAGES, FL, 321598975, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 352-750-6650 |
| Fax | 3527506651 |
Authorized person
| Name | ANA D FERNANDEZ LIZ |
| Role | MANAGER |
| Phone | 3527506650 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTINEZ-CRUZ BAYOAN | Agent | 741 Hwy 466, Lady Lake, FL, 32159 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ-LIZ ANA D | Manager | 811 Via San Polo, Lady Lake, FL, 32159 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ-CRUZ BAYOAN | Managing Member | 811 Via San Polo, Lady Lake, FL, 32159 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-30 | 741 Hwy 466, Lady Lake, FL 32159-6340 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-30 | 741 Hwy 466, Lady Lake, FL 32159-6340 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-30 | 741 Hwy 466, Lady Lake, FL 32159 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-01-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
