| Entity Name: | VILLAGE VEIN CLINIC, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Apr 2006 (19 years ago) |
| Date of dissolution: | 28 Mar 2011 (14 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Mar 2011 (14 years ago) |
| Document Number: | P06000047665 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 8815 CONROY-WINDERMERE ROAD, 249, ORLANDO, FL, 32835 |
| Mail Address: | 314 LA GRANDE BLVD, B, LADY LAKE, FL, 32159 |
| ZIP code: | 32835 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124050737 | 2006-07-06 | 2007-09-13 | 1576 BELLA CRUZ DRIVE, SUITE 332, LADY LAKE, FL, 32159, US | 314 LA GRANDE BLVD, SUITE B, LADY LAKE, FL, 32159, US | |||||||||||||||||||
|
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| Phone | +1 352-350-2640 |
| Fax | 3523502641 |
Authorized person
| Name | DR. JENNY KAZUE YOSHIDA |
| Role | PRESIDENT |
| Phone | 3523502640 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME55201 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PALACIOS O A | Agent | 314 LA GRANDE BLVD, LADY LAKE, FL, 32159 |
| Name | Role | Address |
|---|---|---|
| YOSHIDA J K | Manager | 314 LA GRANDE BLVD #B, ORLANDO, FL, 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2011-03-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-13 | 8815 CONROY-WINDERMERE ROAD, 249, ORLANDO, FL 32835 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-13 | 8815 CONROY-WINDERMERE ROAD, 249, ORLANDO, FL 32835 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-04-13 | PALACIOS, O A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-13 | 314 LA GRANDE BLVD, B, LADY LAKE, FL 32159 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2011-03-28 |
| ANNUAL REPORT | 2010-04-13 |
| ANNUAL REPORT | 2009-01-08 |
| ANNUAL REPORT | 2008-07-09 |
| ANNUAL REPORT | 2008-01-04 |
| ANNUAL REPORT | 2007-03-01 |
| Domestic Profit | 2006-04-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
