| Entity Name: | VILLAGE GROUP MANAGEMENT CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Feb 2000 (25 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P00000013509 |
| FEI/EIN Number | 650980066 |
| Address: | C/O 7805 SW 6TH COURT, PLANTATION, FL, 33324, US |
| Mail Address: | C/O 7805 SW 6TH COURT, PLANTATION, FL, 33324, US |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376790121 | 2008-08-24 | 2008-10-23 | 13550 SW 10TH STREET, STE B, PEMBROKE PINES, FL, 33027, US | 13550 SW 10TH STREET, STE B, PEMBROKE PINES, FL, 33027, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-433-9501 |
| Fax | 9544338035 |
Authorized person
| Name | DR. GENE GODOY |
| Role | MEDICAL DOCTOR MEDICAL DIRECTOR |
| Phone | 9544339501 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME0065758 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | VISTA HEALTHPLAN |
| Number | K2474 |
| State | FL |
| Issuer | MEDICAID |
| Number | 376822800 |
| State | FL |
| Issuer | HUMANA HEALTHPLAN |
| Number | 110819 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WEINBERG STEVEN A | Agent | FRANK, WEINBERG & BLACK, P.L., PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| LOCKWOOD CHERYL A | President | C/O 7805 SW 6TH COURT, PLANTATION, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-08 | FRANK, WEINBERG & BLACK, P.L., 7805 SW 6TH COURT, PLANTATION, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-08 | C/O 7805 SW 6TH COURT, PLANTATION, FL 33324 | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-08 | C/O 7805 SW 6TH COURT, PLANTATION, FL 33324 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-03-08 | WEINBERG, STEVEN A | No data |
| CANCEL ADM DISS/REV | 2009-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| AMENDMENT | 2006-04-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-02-23 |
| ANNUAL REPORT | 2011-03-08 |
| ANNUAL REPORT | 2010-02-15 |
| REINSTATEMENT | 2009-10-07 |
| ANNUAL REPORT | 2008-01-07 |
| ANNUAL REPORT | 2007-04-19 |
| Amendment | 2006-04-25 |
| ANNUAL REPORT | 2006-03-01 |
| ANNUAL REPORT | 2005-02-10 |
| ANNUAL REPORT | 2004-01-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
