| Entity Name: | VERIMED HEALTH GROUP LAND O' LAKES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Jul 2015 (10 years ago) |
| Document Number: | L15000114173 |
| FEI/EIN Number | 30-0876585 |
| Address: | 2674 STONEWOOD PARK LOOP, LAND O' LAKES, FL, 34638, US |
| Mail Address: | 2674 STONEWOOD PARK LOOP, LAND O' LAKES, FL, 34638, US |
| ZIP code: | 34638 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154781284 | 2016-03-02 | 2016-03-02 | 2638 NARNIA WAY, STE 101, LAND O LAKES, FL, 346387231, US | 2638 NARNIA WAY, STE 101, LAND O LAKES, FL, 346387231, US | |||||||||||||||
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| Phone | +1 813-909-0760 |
| Fax | 8139497394 |
Authorized person
| Name | MISS GINA PEREZ |
| Role | ADMINISTRATOR |
| Phone | 8139090760 |
Taxonomy
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REVELLO MARTIN | Agent | 26838 TANIC DRIVE, WESLEY CHAPEL, FL, 33544 |
| Name | Role |
|---|---|
| REVELLO HOLDINGS, LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-09 | 2674 STONEWOOD PARK LOOP, LAND O' LAKES, FL 34638 | No data |
| CHANGE OF MAILING ADDRESS | 2021-11-09 | 2674 STONEWOOD PARK LOOP, LAND O' LAKES, FL 34638 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-20 | 26838 TANIC DRIVE, WESLEY CHAPEL, FL 33544 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-19 |
| AMENDED ANNUAL REPORT | 2021-11-09 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-03-07 |
| ANNUAL REPORT | 2016-04-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
