| Entity Name: | VILLAGE MEDICAL INJURY CARE, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Oct 2018 (6 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L18000236436 |
| FEI/EIN Number | 83-2124086 |
| Address: | 1805 WEST COLONIAL DRIVE, SUITE A, ORLANDO, FL, 32804, US |
| Mail Address: | 1805 WEST COLONIAL DRIVE, SUITE A, ORLANDO, FL, 32804, US |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316417462 | 2018-12-03 | 2018-12-03 | 510 CR 466, UNIT 104B, LADY LAKE, FL, 32159, US | 510 CR 466, UNIT 104B, LADY LAKE, FL, 32159, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 407-578-9142 |
Authorized person
| Name | OWEN FRASER |
| Role | PRESIDENT |
| Phone | 4075789142 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FRASER OWEN D | Agent | 1805 WEST COLONIAL DRIVE, ORLANDO, FL, 32804 |
| Name | Role | Address |
|---|---|---|
| FRASER OWEN D | Manager | 1850 WEST COLONIAL DRIVE, SUITE A, ORLANDO, FL, 32804 |
| Name | Role | Address |
|---|---|---|
| Glenn Elyse | Authorized Member | 1805 WEST COLONIAL DRIVE, ORLANDO, FL, 32804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-05-20 |
| ANNUAL REPORT | 2019-04-16 |
| Florida Limited Liability | 2018-10-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
