| Entity Name: | YANNUCCI MEDICAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Jun 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Dec 2022 (2 years ago) |
| Document Number: | L15000099249 |
| FEI/EIN Number | 47-4278228 |
| Address: | 4302 LAKE HAVEN BLVD., SEBRING, FL, 33875 |
| Mail Address: | 4302 LAKE HAVEN BLVD., SEBRING, FL, 33875 |
| ZIP code: | 33875 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982134797 | 2017-06-14 | 2022-07-21 | 2523 US HIGHWAY 27 S STE 130, AVON PARK, FL, 338259690, US | 2523 US HIGHWAY 27 S STE 130, AVON PARK, FL, 338259690, US | |||||||||||||||||
|
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| Phone | +1 863-657-2300 |
Authorized person
| Name | DR. JOHN JOSEPH YANNUCCI II |
| Role | OWNER/ PRESIDENT |
| Phone | 8636572300 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME92786 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Yannucci John JII | Agent | 4302 LAKE HAVEN BLVD., SEBRING, FL, 33875 |
| Name | Role | Address |
|---|---|---|
| YANNUCCI JOHN JII, MD | Manager | 4302 LAKE HAVEN BLVD., SEBRING, FL, 33875 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-12-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-09-18 | Yannucci, John J, II | No data |
| REINSTATEMENT | 2020-09-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-12-14 | 4302 LAKE HAVEN BLVD., SEBRING, FL 33875 | No data |
| REINSTATEMENT | 2016-12-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-01-31 |
| REINSTATEMENT | 2022-12-09 |
| ANNUAL REPORT | 2021-01-13 |
| REINSTATEMENT | 2020-09-18 |
| ANNUAL REPORT | 2018-07-12 |
| ANNUAL REPORT | 2017-03-21 |
| REINSTATEMENT | 2016-12-14 |
| Florida Limited Liability | 2015-06-05 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
