| Entity Name: | GRACIE VENTURES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Mar 2023 (2 years ago) |
| Document Number: | L23000151069 |
| FEI/EIN Number | 93-2966080 |
| Address: | 877 EXECUTIVE CENTER DRIVE WEST, SUITE 100, ST. PETERSBURG, FL 33702 |
| Mail Address: | 877 EXECUTIVE CENTER DRIVE WEST, SUITE 100, ST. PETERSBURG, FL 33702 |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386426369 | 2023-10-16 | 2023-10-31 | 1840 MEASE DR STE 319, SAFETY HARBOR, FL, 346956605, US | 1840 MEASE DR STE 319, SAFETY HARBOR, FL, 346956605, US | |||||||||||||
|
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| Phone | +1 727-712-3233 |
Authorized person
| Name | MARK ZUZGA |
| Role | SOLE MEMBER |
| Phone | 7277123233 |
Taxonomy
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BUNCH, STEPHEN M | Agent | 877 EXECUTIVE CENTER DRIVE WEST, SUITE 100, ST. PETERSBURG, FL 33702 |
| Name | Role | Address |
|---|---|---|
| ZUZGA, MARK A | Manager | 8045 ELBOW LANE N, ST. PETERSBURG, FL 33710 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000097909 | WEST FLORIDA VASCULAR AND VEIN | ACTIVE | 2023-08-22 | 2028-12-31 | No data | 3280 N. MCMULLEN BOOTH ROAD, SUITE 140, CLEARWATER, FL, 33761 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-03-07 |
| Florida Limited Liability | 2023-03-24 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
