| Entity Name: | TREASURE COAST MEDICAL AND HOLISTIC CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Feb 2009 (16 years ago) |
| Date of dissolution: | 20 Mar 2017 (8 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Mar 2017 (8 years ago) |
| Document Number: | L09000017768 |
| FEI/EIN Number | 900447109 |
| Address: | 1255 S.W. CURRY STREET, PORT ST. LUCIE, FL, 34983, US |
| Mail Address: | 1255 S.W. CURRY STREET, PORT ST. LUCIE, FL, 34983, US |
| ZIP code: | 34983 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831477553 | 2011-07-29 | 2011-07-29 | 1255 SW CURRY STREET, PORT ST LUCIE, FL, 349832509, US | 1255 SW CURRY STREET, PORT ST LUCIE, FL, 349832509, US | |||||||||||||||||||||||
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| Phone | +1 772-418-4036 |
Authorized person
| Name | MS. LUZ SCHELMETY-HENRIQUEZ |
| Role | ARNP/OWNER |
| Phone | 7724184036 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 363L00000X |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 306428000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SCHELMETY-HENRIQUEZ LUZ A | Agent | 1255 S.W. CURRY STREET, PORT ST. LUCIE, FL, 34983 |
| Name | Role | Address |
|---|---|---|
| SCHELMETY-HENRIQUEZ LUZ A | Manager | 1255 SW CURRY STREET, PORT ST LUCIE, FL, 34983 |
| Name | Role | Address |
|---|---|---|
| Henriquez Edwin | Assi | 1255 S.W. CURRY STREET, PORT ST. LUCIE, FL, 34983 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2017-03-20 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-11 | 1255 S.W. CURRY STREET, PORT ST. LUCIE, FL 34983 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-11 | 1255 S.W. CURRY STREET, PORT ST. LUCIE, FL 34983 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-06 | SCHELMETY-HENRIQUEZ, LUZ ARNP | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2017-03-20 |
| ANNUAL REPORT | 2016-02-07 |
| ANNUAL REPORT | 2015-03-18 |
| ANNUAL REPORT | 2014-02-26 |
| ANNUAL REPORT | 2013-04-07 |
| ANNUAL REPORT | 2012-04-11 |
| ANNUAL REPORT | 2011-04-06 |
| ANNUAL REPORT | 2010-04-28 |
| Florida Limited Liability | 2009-02-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
