| Entity Name: | FLORIDA EXECUTIVE HEALTHCARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Sep 2020 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 16 Sep 2022 (2 years ago) |
| Document Number: | L20000306442 |
| FEI/EIN Number | 85-3385156 |
| Address: | 4114 Herschel Street, JACKSONVILLE, FL 32210 |
| Mail Address: | 1424 Whitewood, Deltona, FL 32725 |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407454762 | 2020-10-09 | 2020-10-09 | 1424 WHITEWOOD DR, DELTONA, FL, 327255654, US | 1424 WHITEWOOD DR, DELTONA, FL, 327255654, US | |||||||||||||||
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| Phone | +1 386-456-7080 |
| Fax | 3862005919 |
Authorized person
| Name | GISELLE M VILLA |
| Role | CEO/OWNER |
| Phone | 3864567080 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VILLA, GISELLE M | Agent | 1424 WHITEWOOD DRIVE, DELTONA, FL 32725 |
| Name | Role | Address |
|---|---|---|
| VILLA, GISELLE M | Chief Executive Officer | 1424 WHITEWOOD DR., DELTONA, FL 32725 |
| Name | Role | Address |
|---|---|---|
| MURPHY, DESHAWN V | Authorized Member | 1147 CALLA GLEN LANE, GREEN COVE SPRINGS, FL 32043 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-11-09 | 4114 Herschel Street, JACKSONVILLE, FL 32210 | No data |
| LC AMENDMENT | 2022-09-16 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-14 | 4114 Herschel Street, JACKSONVILLE, FL 32210 | No data |
| 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 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
