| Entity Name: | COMMUNITY CHOICE HEALTHCARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Apr 2006 (19 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 29 Mar 2018 (7 years ago) |
| Document Number: | L06000036040 |
| FEI/EIN Number | 825395076 |
| Address: | 1042 SW MCCALL RD, PORT ST. LUCIE, FL, 34953, US |
| Mail Address: | 1042 SW MCCALL RD, PORT ST. LUCIE, FL, 34953, US |
| ZIP code: | 34953 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659867232 | 2018-07-06 | 2024-01-19 | 1042 SW MCCALL RD, PORT SAINT LUCIE, FL, 349533618, US | 1042 SW MCCALL RD, PORT SAINT LUCIE, FL, 349533618, US | |||||||||||||||||||||||
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| Phone | +1 954-254-4952 |
| Fax | 7722075178 |
| Phone | +1 772-207-5178 |
Authorized person
| Name | ARLENE MARIE MORRISON |
| Role | PRESIDENT |
| Phone | 9542544952 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ARNP3112262 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MORRISON ARLENE | Agent | 1042 SW MCCALL RD, PORT ST. LUCIE, FL, 34953 |
| Name | Role | Address |
|---|---|---|
| MORRISON ARLENE | Manager | 1042 SW MCCALL RD, PORT ST. LUCIE, FL, 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-05 | 1042 SW MCCALL RD, PORT ST. LUCIE, FL 34953 | No data |
| LC NAME CHANGE | 2018-03-29 | COMMUNITY CHOICE HEALTHCARE, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-08-31 | 1042 SW MCCALL RD, PORT ST. LUCIE, FL 34953 | No data |
| CHANGE OF MAILING ADDRESS | 2009-08-31 | 1042 SW MCCALL RD, PORT ST. LUCIE, FL 34953 | No data |
| CANCEL ADM DISS/REV | 2008-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-03-19 |
| ANNUAL REPORT | 2020-03-12 |
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-03-30 |
| LC Name Change | 2018-03-29 |
| ANNUAL REPORT | 2017-04-03 |
| ANNUAL REPORT | 2016-02-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
