| Entity Name: | PASCO ALTERNATIVE HEALTHCARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 Feb 2005 (20 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | L05000015114 |
| FEI/EIN Number | 202333363 |
| Address: | 2216 US 19, HOLIDAY, FL, 34691 |
| Mail Address: | 2216 US 19, HOLIDAY, FL, 34690 |
| ZIP code: | 34691 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285757369 | 2007-04-06 | 2020-08-22 | 2216 US HIGHWAY 19, HOLIDAY, FL, 346914351, US | 2216 US HIGHWAY 19, HOLIDAY, FL, 346914351, US | |||||||||||||||||||||||||
|
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| Phone | +1 727-943-0300 |
| Fax | 7279430339 |
Authorized person
| Name | CYNTHIA ANN CLAMON |
| Role | CLINIC DIRECTOR |
| Phone | 7279730300 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8475 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS GRP |
| Number | 94860 |
| State | FL |
| Name | Role |
|---|---|
| SRD CONSULTANTS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| CLAMON CYNTHIA | Manager | 2216 US 19, HOLIDAY, FL, 34691 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-02-25 | 2216 US 19, HOLIDAY, FL 34691 | No data |
| REGISTERED AGENT NAME CHANGED | 2006-02-25 | SRD CONSULTANTS, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-02-25 | 2216 US 19, HOLIDAY, FL 34691 | No data |
| CHANGE OF MAILING ADDRESS | 2006-02-25 | 2216 US 19, HOLIDAY, FL 34691 | No data |
| AMENDMENT | 2005-12-27 | No data | No data |
| AMENDMENT | 2005-04-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-04-11 |
| ANNUAL REPORT | 2006-02-25 |
| Amendment | 2005-12-27 |
| Amendment | 2005-04-08 |
| Florida Limited Liabilites | 2005-02-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
