| Entity Name: | VILLA VALER SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Dec 2014 (10 years ago) |
| Document Number: | P14000097395 |
| FEI/EIN Number | 47-2506723 |
| Address: | 20342 SW 129 PLACE, MIAMI, FL, 33177 |
| Mail Address: | 20342 SW 129 PLACE, MIAMI, FL, 33177 |
| ZIP code: | 33177 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508317215 | 2016-10-18 | 2016-10-18 | 20342 SW 129TH PL, MIAMI, FL, 331775506, US | 20342 SW 129TH PL, MIAMI, FL, 331775506, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-964-7717 |
| Fax | 3059647717 |
Authorized person
| Name | MR. MAURICIO MARTIN |
| Role | PRESIDENT |
| Phone | 3059647717 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | 11-1158-GH |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016584900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARTIN MAURICIO | Agent | 20342 SW 129 PLACE, MIAMI, FL, 33177 |
| Name | Role | Address |
|---|---|---|
| MARTIN MAURICIO | President | 20342 SW 129 PLACE, MIAMI, FL, 33177 |
| Name | Role | Address |
|---|---|---|
| MARTIN MAURICIO | Director | 20342 SW 129 PLACE, MIAMI, FL, 33177 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-05-05 |
| ANNUAL REPORT | 2019-03-07 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
