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FLORIDA EXECUTIVE HEALTHCARE, LLC - Florida Company Profile

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Company Details

Entity Name: FLORIDA EXECUTIVE HEALTHCARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Sep 2020 (5 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 16 Sep 2022 (3 years ago)
Document Number: L20000306442
FEI/EIN Number 853385156
Address: 4114 Herschel Street, JACKSONVILLE, FL, 32210, US
Mail Address: 1424 Whitewood, Deltona, FL, 32725, US
ZIP code: 32210
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VILLA GISELLE M Chief Executive Officer 1424 WHITEWOOD DR., DELTONA, FL, 32725
MURPHY DESHAWN V Authorized Member 1147 CALLA GLEN LANE, GREEN COVE SPRINGS, FL, 32043
VILLA GISELLE M Agent 1424 WHITEWOOD DRIVE, DELTONA, FL, 32725

National Provider Identifier

NPI Number:
1407454762
Certification Date:
2020-10-09

Authorized Person:

Name:
GISELLE M VILLA
Role:
CEO/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
3862005919

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-11-09 4114 Herschel Street, JACKSONVILLE, FL 32210 -
LC AMENDMENT 2022-09-16 - -
CHANGE OF MAILING ADDRESS 2022-04-14 4114 Herschel Street, JACKSONVILLE, FL 32210 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-05-01
LC Amendment 2022-09-16
ANNUAL REPORT 2022-04-14
ANNUAL REPORT 2021-03-29
Florida Limited Liability 2020-09-29

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Date of last update: 01 Aug 2025

Sources: Florida Department of State