| Entity Name: | VALOR LAKES HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 May 2023 (2 years ago) |
| Document Number: | M23000005731 |
| FEI/EIN Number | 92-3288718 |
| Address: | 12629 SOUTH US HIGHWAY 27, CLERMONT, FL 34711 |
| Mail Address: | 12629 SOUTH US HIGHWAY 27, CLERMONT, FL 34711 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699525246 | 2024-03-26 | 2024-03-26 | 741 8TH ST, CLERMONT, FL, 347112157, US | 12629 US 27, CLERMONT, FL, 347118588, US | |||||||||||||||
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| Phone | +1 407-725-0012 |
| Fax | 4072090788 |
Authorized person
| Name | MAUREEN HAGAN |
| Role | CONTRACTING MANAGER |
| Phone | 5125357770 |
Taxonomy
| Taxonomy Code | 2084P0802X - Addiction Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MYERS, COLIN | Agent | 741 8TH STREET, CLERMONT, FL 34711 |
| Name | Role | Address |
|---|---|---|
| MYERS, COLIN | Authorized Person | 12629 SOUTH US HIGHWAY 27, CLERMONT, FL 34711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000066230 | VALOR LAKES | ACTIVE | 2023-05-30 | 2028-12-31 | No data | 741 8TH STREET, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-09 | 12629 SOUTH US HIGHWAY 27, CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-09 | 12629 SOUTH US HIGHWAY 27, CLERMONT, FL 34711 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| Foreign Limited | 2023-05-03 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
