Entity Name: | VISION MOBILE WOUND CARE SERVICES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 18 Jan 2019 (6 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 25 Oct 2020 (4 years ago) |
Document Number: | L19000020626 |
FEI/EIN Number | 83-3306455 |
Mail Address: | 14260 W. NEWBERRY RD., #332, NEWBERRY, FL 32669 |
Address: | 414 SW 140TH TERRACE, SUITE 3300, NEWBERRY, FL 32669 |
ZIP code: | 32669 |
County: | Alachua |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1992496343 | 2023-05-17 | 2023-05-17 | 414 SW 140TH TER STE 170, NEWBERRY, FL, 326695432, US | 414 SW 140TH TER STE 3300, NEWBERRY, FL, 326693363, US | |||||||||||||||
|
Phone | +1 877-281-1593 |
Fax | 3523541542 |
Authorized person
Name | SHIRLEY ANN COLLINS |
Role | CEO, DIRECTOR OF CLINICAL OPERATION |
Phone | 8772811593 |
Taxonomy
Taxonomy Code | 251J00000X - Nursing Care Agency |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
COLLINS, SHIRLEY A | Agent | 194 SW 145TH DR., #14, NEWBERRY, FL 32669 |
Name | Role | Address |
---|---|---|
COLLINS, SHIRLEY A | Authorized Representative | 194 SW 145TH DR. #14, NEWBERRY, FL 32669 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-03-07 | 414 SW 140TH TERRACE, SUITE 3300, NEWBERRY, FL 32669 | No data |
REINSTATEMENT | 2020-10-25 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2020-10-25 | COLLINS, SHIRLEY A | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-24 |
ANNUAL REPORT | 2023-03-07 |
ANNUAL REPORT | 2022-04-07 |
ANNUAL REPORT | 2021-05-14 |
REINSTATEMENT | 2020-10-25 |
Florida Limited Liability | 2019-01-18 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State