| Entity Name: | VILLA HEALTH PULMONARY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jan 2020 (5 years ago) |
| Document Number: | L20000025320 |
| FEI/EIN Number | 84-4506178 |
| Address: | 1507 BUENOS AIRES BLVD, THE VILLAGES, 32159, SU |
| Mail Address: | 1507 BUENOS AIRES BLVD, THE VILLAGES, 32159, SU |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437780830 | 2020-02-04 | 2020-02-04 | 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 321598974, US | 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 321598974, US | |||||||||||||||||||
|
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| Phone | +1 352-561-6299 |
Authorized person
| Name | DR. MARIVIC VILLA |
| Role | PRESIDENT |
| Phone | 3525616299 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UPIN |
| Number | F30701 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VOGIATZIS CHRISTOS | Agent | 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 32159 |
| Name | Role | Address |
|---|---|---|
| VILLA MARIVIC | Authorized Member | 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 32159 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000046735 | VILLA LUNG CENTER | ACTIVE | 2023-04-12 | 2028-12-31 | No data | 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 32159 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-01-18 |
| ANNUAL REPORT | 2021-01-29 |
| Florida Limited Liability | 2020-01-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
