| Entity Name: | RICARDO VILLALOBOS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Jan 2019 (6 years ago) |
| Document Number: | P19000002355 |
| FEI/EIN Number | 83-3150521 |
| Address: | 13506 SUMMERPORT VILLAGE PKWY, WINDERMERE, FL, 34786, US |
| Mail Address: | 13506 SUMMERPORT VILLAGE PKWY, WINDERMERE, FL, 34786, US |
| ZIP code: | 34786 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811461353 | 2019-01-17 | 2019-01-17 | 16606 BROADWATER AVE, WINTER GARDEN, FL, 34787, US | 16606 BROADWATER AVE, WINTER GARDEN, FL, 34787, US | |||||||||||||
|
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| Phone | +1 407-778-4796 |
Authorized person
| Name | RICARDO VILLALOBOS |
| Role | PRESIDENT |
| Phone | 7875484762 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VILLALOBOS RICARDO | Agent | 5035 SAWYER COVE WAY, WINDERMERE, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| VILLALOBOS RICARDO | President | 5035 SAWYER COVE WAY, WINDERMERE, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| VILLALOBOS RICARDO | Treasurer | 5035 SAWYER COVE WAY, WINDERMERE, FL, 34786 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-27 | 13506 SUMMERPORT VILLAGE PKWY, SUITE 1511, WINDERMERE, FL 34786 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-27 | 13506 SUMMERPORT VILLAGE PKWY, SUITE 1511, WINDERMERE, FL 34786 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-27 | 5035 SAWYER COVE WAY, WINDERMERE, FL 34786 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-29 |
| Domestic Profit | 2019-01-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
