| Entity Name: | CAMUS MEDICAL PRACTICE L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Jan 2017 (8 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L17000013243 |
| FEI/EIN Number | 81-4230227 |
| Address: | 1400 US HWY 441 N., BLDG 900 STE 904, THE VILLAGES, FL, 32159 |
| Mail Address: | 1400 US HWY 441 N., BLDG 900 STE 904, THE VILLAGES, FL, 32159 |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407390990 | 2016-12-19 | 2016-12-19 | 1400 N US HIGHWAY 441, BLDG 900 STE 904, THE VILLAGES, FL, 321598975, US | 1400 N US HIGHWAY 441, BLDG 900 STE 904, THE VILLAGES, FL, 321598975, US | |||||||||||||||
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| Phone | +1 352-259-3435 |
| Fax | 3522593438 |
Authorized person
| Name | DEBBIE CAMOGLIANO |
| Role | OFFICE MANAGER |
| Phone | 3522593435 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CAMOGLIANO ROMULO JMD | Agent | 1400 US HWY 441 N., THE VILLAGES, FL, 32159 |
| Name | Role | Address |
|---|---|---|
| CAMOGLIANO DEBRA J | Manager | 1400 US HWY 441 N. BLDG 900 STE 902, THE VILLAGES, FL, 32159 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-04-27 |
| Florida Limited Liability | 2017-01-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
