| Entity Name: | WOMEN'S CONTEMPORARY HEALTH CENTER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Mar 2000 (25 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 27 May 2009 (16 years ago) |
| Document Number: | L00000002655 |
| FEI/EIN Number | 651002455 |
| Address: | 6150 DIAMOND CENTRE CT., BLDG #400, FORT MYERS, FL, 33912, US |
| Mail Address: | 6150 DIAMOND CENTRE COURT, BLDG # 400, MAILBOX # 401, FORT MYERS, FL, 33912, US |
| ZIP code: | 33912 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306097829 | 2008-10-02 | 2012-01-05 | 6150 DIAMOND CENTRE CT, BUILDING 400, FORT MYERS, FL, 339124365, US | 6150 DIAMOND CENTRE CT, BUILDING 400, FORT MYERS, FL, 339124365, US | |||||||||||||||||||||||||
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| Phone | +1 239-561-9191 |
| Fax | 2395619188 |
Authorized person
| Name | EILEEN M KOZAK |
| Role | PRACTICE MANAGER |
| Phone | 2395619191 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0045181 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 041920600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BLOY RICHARD L | Agent | 6150 DIAMOND CENTER CT., BLDG #400, FORT MYERS, FL, 33912 |
| Name | Role | Address |
|---|---|---|
| BLOY RICHARD L | Managing Member | 6150 DIAMOND CENTER CT., BLDG #400, FORT MYERS, FL, 33912 |
| Name | Role | Address |
|---|---|---|
| Bloy Richard | Manager | 6150 DIAMOND CENTRE CT., FORT MYERS, FL, 33912 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-02-12 | 6150 DIAMOND CENTRE CT., BLDG #400, FORT MYERS, FL 33912 | No data |
| CHANGE OF MAILING ADDRESS | 2013-02-12 | 6150 DIAMOND CENTRE CT., BLDG #400, FORT MYERS, FL 33912 | No data |
| LC AMENDMENT | 2009-05-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-11-09 | BLOY, RICHARD L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-11-09 | 6150 DIAMOND CENTER CT., BLDG #400, FORT MYERS, FL 33912 | No data |
| AMENDED AND RESTATEDARTICLES/NAME CHANGE | 2005-09-15 | WOMEN'S CONTEMPORARY HEALTH CENTER, PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-03-23 |
| AMENDED ANNUAL REPORT | 2021-05-06 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-08 |
| ANNUAL REPORT | 2016-01-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
