| Entity Name: | LAVENDER HEALTH CARE OF FLORIDA, LLLP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Limited Partnership |
| Status: | Active |
| Date Filed: | 28 May 2010 (15 years ago) |
| Document Number: | A10000000311 |
| FEI/EIN Number | 272743891 |
| Address: | 2901 SOUTH TAMIAMI TRAIL, SARASOTA, FL, 34239, US |
| Mail Address: | 2901 SOUTH TAMIAMI TRAIL, SARASOTA, FL, 34239, US |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811210735 | 2010-03-05 | 2021-04-27 | 2901 S TAMIAMI TRL, SARASOTA, FL, 342395106, US | 2901 S TAMIAMI TRL, SARASOTA, FL, 342395106, US | |||||||||||||||||||||||||||
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| Phone | +1 727-688-6951 |
| Fax | 9413644371 |
Authorized person
| Name | DR. ERIC BUETE |
| Role | CHIEF MEDICAL OFFICER |
| Phone | 7276886951 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | HEALTH CARE CLINIC LICENSE |
| Number | HCC8996 |
| State | FL |
| Issuer | CLIA NUMBER |
| Number | 10D2012734 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAVENDER HEALTH CARE 401K | 2023 | 272743891 | 2024-06-26 | LAVENDER HEALTH CARE OF FLORIDA, LLLP | 23 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-26 |
| Name of individual signing | RICHARD LEE KIMSEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2018-09-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 9415395000 |
| Plan sponsor’s address | 2901 S. TAMIAMI TRI., SARASOTA, FL, 34239 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | RICHARD LEE KIMSEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2018-09-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 9415395000 |
| Plan sponsor’s address | 2901 S. TAMIAMI TRI., SARASOTA, FL, 34239 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-20 |
| Name of individual signing | RICHARD LEE KIMSEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2018-09-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 9415395000 |
| Plan sponsor’s address | 2901 S. TAMIAMI TRI., SARASOTA, FL, 34239 |
Signature of
| Role | Plan administrator |
| Date | 2021-05-05 |
| Name of individual signing | RICHARD LEE KIMSEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KIMSEY RICHARD LEE | Agent | 2901 SOUTH TAMIAMI TRAIL, SARASOTA, FL, 34239 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000057670 | DOCTORS EXPRESS | ACTIVE | 2023-05-07 | 2028-12-31 | No data | 2901 S. TAMIAMI TRAIL, SARASOTA, FL, 34239 |
| G16000132202 | AFC URGENT CARE | ACTIVE | 2016-12-08 | 2026-12-31 | No data | 2901 S. TAMIAMI TRAIL, SARASOTA, FL, 34239 |
| G16000048335 | AMERICAN FAMILY CARE | ACTIVE | 2016-05-13 | 2026-12-31 | No data | 2901 S. TAMIAMI TRAIL, SARASOTA, FL, 34239 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-16 | 2901 SOUTH TAMIAMI TRAIL, SARASOTA, FL 34239 | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-16 | 2901 SOUTH TAMIAMI TRAIL, SARASOTA, FL 34239 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-16 | 2901 SOUTH TAMIAMI TRAIL, SARASOTA, FL 34239 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-02-09 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-02-09 |
| ANNUAL REPORT | 2015-04-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
