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AVICA LLC

Company Details

Entity Name: AVICA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Jun 2017 (8 years ago)
Last Event: LC AMENDMENT AND NAME CHANGE
Event Date Filed: 28 Jul 2020 (5 years ago)
Document Number: L17000135089
FEI/EIN Number 821974631
Address: 8790 53RD WAY, PINELLAS PARK, FL, 33782, US
Mail Address: PO BOX 101, PINELLAS PARK, FL, 33780, US
ZIP code: 33782
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427568724 2017-10-02 2021-06-01 PO BOX 101, PINELLAS PARK, FL, 337800101, US 8790 53RD WAY N, PINELLAS PARK, FL, 337825180, US

Contacts

Phone +1 727-214-0427
Phone +1 727-804-1442

Authorized person

Name VICTORIA MICHELE DEWATERS
Role OWNER
Phone 7278041442

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary No
Taxonomy Code 251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary Yes
Taxonomy Code 261QD1600X - Developmental Disabilities Clinic/Center
Is Primary No

Agent

Name Role Address
DEWATERS VICTORIA M Agent 8790 53RD WAY, PINELLAS PARK, FL, 33782

Manager

Name Role Address
DeWaters Victoria M Manager 8790 53RD WAY, PINELLAS PARK, FL, 33782

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000072538 WEST COAST SUPPORT SERVICES EXPIRED 2017-07-05 2022-12-31 No data 5260 78TH AVE N, PO BOX 101, PINELLAS PARK, FL, 33780

Events

Event Type Filed Date Value Description
LC AMENDMENT AND NAME CHANGE 2020-07-28 AVICA LLC No data
CHANGE OF MAILING ADDRESS 2018-04-14 8790 53RD WAY, PINELLAS PARK, FL 33782 No data

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-02-20
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-03-15
LC Amendment and Name Change 2020-07-28
ANNUAL REPORT 2020-04-07
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-04-14
Florida Limited Liability 2017-06-21

Date of last update: 03 Feb 2025

Sources: Florida Department of State