| Entity Name: | VINELAND MEDICAL CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 04 Nov 2013 (11 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L13000154791 |
| FEI/EIN Number | 46-4021750 |
| Address: | 1319 E. Vine Street, Kissimmee, FL 34744 |
| Mail Address: | 307 LAXTON LANE, VALRICO, FL 33594 |
| ZIP code: | 34744 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306262514 | 2014-03-12 | 2014-03-12 | 1319 E VINE ST, KISSIMMEE, FL, 347443642, US | 1319 E VINE ST, KISSIMMEE, FL, 347443642, US | |||||||||||||||||||||||
|
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| Phone | +1 813-410-2914 |
Authorized person
| Name | MR. HARRY HINDI |
| Role | OWNER |
| Phone | 8134102914 |
Taxonomy
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| License Number | PA9100810 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 006488200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Hindi, Harry | Agent | 307 Laxton Lane, Valrico, FL 33594 |
| Name | Role | Address |
|---|---|---|
| HINDI, HARRY | Manager | 307 LAXTON LANE, VALRICO, FL 33594 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-10 | Hindi, Harry | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-10 | 307 Laxton Lane, Valrico, FL 33594 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-14 | 1319 E. Vine Street, Kissimmee, FL 34744 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-08-03 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-01-28 |
| ANNUAL REPORT | 2014-01-14 |
| Florida Limited Liability | 2013-11-04 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
