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ST. LUKE'S AT THE VILLAGES BROWNWOOD, P.A. - Florida Company Profile

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Company Details

Entity Name: ST. LUKE'S AT THE VILLAGES BROWNWOOD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 25 Apr 2019 (6 years ago)
Date of dissolution: 27 May 2020 (5 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 27 May 2020 (5 years ago)
Document Number: P19000034432
FEI/EIN Number 84-1777396
Address: 43309 US HIGHWAY 19 N, TARPON SPRINGS, FL, 34689, US
Mail Address: 43309 US HIGHWAY 19 N, TARPON SPRINGS, FL, 34689, US
ZIP code: 34689
City: Tarpon Springs
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GILLS JAMES PIII Director 43309 US HIGHWAY 19 N, TARPON SPRINGS, FL, 34689
HOUSER J. BRADLEY Director 43309 US HIGHWAY 19 N, TARPON SPRINGS, FL, 34689
IRELAND KIMBERLY Director 43309 US HIGHWAY 19 N, TARPON SPRINGS, FL, 34689
KOCHE DAVID L Agent 601 BAYSHORE BLVD., STE. 700, TAMPA, FL, 33606

National Provider Identifier

NPI Number:
1033762588

Authorized Person:

Name:
ANTHONY MICHAEL ROSZEL
Role:
CHIEF FINANCIAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
7279433334

Events

Event Type Filed Date Value Description
MERGER 2020-05-27 - CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS P12000057504. MERGER NUMBER 500000202985

Documents

Name Date
ANNUAL REPORT 2020-05-27
Domestic Profit 2019-04-25

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Date of last update: 01 Jul 2025

Sources: Florida Department of State