Detail by Officer/Registered Agent Name

Florida Limited Liability Company

PCCC OF PORT ORANGE AND ORMOND LLC

Filing Information
L07000086773 26-0767506 08/24/2007 08/23/2007 FL ACTIVE
Principal Address
1055 North Dixie Freeway
New Smyrna Beach, FL 32168

Changed: 04/21/2013
Mailing Address
1055 N Dixie Fwy
Suite 1
New Smyrna Beach, FL 32168

Changed: 04/29/2015
Registered Agent Name & Address AILANI, RAJESH K
1055 North Dixie Freeway
New Smyrna Beach, FL 32168

Address Changed: 04/21/2013
Authorized Person(s) Detail Name & Address

Title MGR

AILANI, RAJESH K
1055 North Dixie Freeway
New Smyrna Beach, FL 32168

Title MD

Zacharis, Theodossis
1055 N DIXIE FREEWAY
NEW SMYRNA BEACH, FL 32168

Title MD

Vintimilla, Maria
1055 N DIXIE FREEWAY
NEW SMYRNA BEACH, FL 32168

Title MD

Rho, Christina
1055 N DIXIE FREEWAY
NEW SMYRNA BEACH, FL 32168

Title MD

DiBello, Chris
1055 N DIXIE FREEWAY
NEW SMYRNA BEACH, FL 32168

Title Authorized Member

Trapani, Vicente
1055 North Dixie Freeway
New Smyrna Beach, FL 32168

Annual Reports
Report YearFiled Date
2022 03/15/2022
2023 03/15/2023
2024 04/02/2024