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TRI-COUNTY PULMONARY & MULTI-SPECIALTY GROUP, P.A. - Florida Company Profile

Company Details

Entity Name: TRI-COUNTY PULMONARY & MULTI-SPECIALTY GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

TRI-COUNTY PULMONARY & MULTI-SPECIALTY GROUP, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 04 Mar 1999 (26 years ago)
Date of dissolution: 26 Sep 2014 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2014 (11 years ago)
Document Number: P99000020513
FEI/EIN Number 593561297

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1507 BUENOS AIRES BLVD., THE VILLAGES, FL, 32159
Mail Address: 1507 BUENOS AIRES BLVD., THE VILLAGES, FL, 32159
ZIP code: 32159
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003890294 2005-12-01 2008-06-18 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 321598974, US 1507 BUENOS AIRES BLVD, THE VILLAGES, FL, 321598974, US

Contacts

Phone +1 352-350-1600
Fax 3527508032

Authorized person

Name MR. DAN ARSENIJEVITH
Role BUSINESS ADMINISTRATOR
Phone 3523501556

Taxonomy

Taxonomy Code 207RP1001X - Pulmonary Disease Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 262056100
State FL

Key Officers & Management

Name Role Address
VILLA MARIVIC M President 11201 SE SUNSET HARBOR RD., SUMMERFIELD, FL, 34491
KRAUCAK NELSON Agent 1507 BUENOS AIRES BLVD., THE VILLAGES, FL, 32159

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000034527 VMG PULMONARY & SLEEP DISORDER CENTER, PA EXPIRED 2011-04-07 2016-12-31 - 3365 WEDGEWOOD LANE, THE VILLAGES, FL, 32162
G08311900108 VILLA MEDICAL GROUP EXPIRED 2008-11-06 2013-12-31 - 1507 BUENOS AIRES BOULEVARD, THE VILLAGES, FL, 32159

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 - -
REGISTERED AGENT NAME CHANGED 2011-04-04 KRAUCAK, NELSON -
CHANGE OF PRINCIPAL ADDRESS 2007-02-22 1507 BUENOS AIRES BLVD., THE VILLAGES, FL 32159 -
CHANGE OF MAILING ADDRESS 2007-02-22 1507 BUENOS AIRES BLVD., THE VILLAGES, FL 32159 -

Documents

Name Date
ANNUAL REPORT 2013-04-29
ANNUAL REPORT 2012-02-07
ANNUAL REPORT 2011-04-20
Reg. Agent Change 2011-04-04
ANNUAL REPORT 2010-03-29
ANNUAL REPORT 2009-05-01
ANNUAL REPORT 2008-04-15
ANNUAL REPORT 2007-02-22
ANNUAL REPORT 2006-01-13
ANNUAL REPORT 2005-01-20

Date of last update: 01 Apr 2025

Sources: Florida Department of State