| Entity Name: | VIZAVEE URGENT & PRIMARY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Mar 2021 (4 years ago) |
| Document Number: | L21000110448 |
| FEI/EIN Number | 863257570 |
| Address: | 340 Heald Way, THE VILLAGES, FL, 32163-6000, US |
| Mail Address: | 4669 E SR 44, WILDWOOD, FL, 34785-7460, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821665886 | 2021-06-08 | 2024-02-12 | 4669 E SR 44 STE 101, WILDWOOD, FL, 347857460, US | 4669 E SR 44 STE 101, WILDWOOD, FL, 347857460, US | |||||||||||||||||||
|
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| Phone | +1 352-399-7301 |
| Fax | 3527921051 |
Authorized person
| Name | JANAE SANTOS |
| Role | OWNER/MANAGER |
| Phone | 3214380193 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SANTOS JANAE A | Agent | 4669 E SR 44, WILDWOOD, FL, 34785 |
| Name | Role | Address |
|---|---|---|
| SANTOS JANAE A | Manager | 1901 LEWIS RD, LEESBURG, FL, 34748 |
| SISTO MICHAEL | Manager | 7097 SE 135 ST, SUMMERFIELD, FL, 34491 |
| JUDD ROBIN | Manager | 1576 E LACEY AVE, HAYDEN, ID, 83835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-16 | 4669 E SR 44, STE 101, WILDWOOD, FL 34785 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-11 | 340 Heald Way, SUITE 208, THE VILLAGES, FL 32163-6000 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-11 | 340 Heald Way, SUITE 208, THE VILLAGES, FL 32163-6000 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-16 |
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-04-11 |
| Florida Limited Liability | 2021-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
