| Entity Name: | ROSALIA LEITE-EVANS MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Mar 2010 (15 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 02 Sep 2010 (14 years ago) |
| Document Number: | L10000032723 |
| FEI/EIN Number | 27-2205182 |
| Address: | 745 US 1, SUITE # 203, NORTH PALM BEACH, FL 33408 |
| Mail Address: | 5200 N FLAGLER DRIVE, #2303, WEST PALM BEACH, FL 33407 |
| ZIP code: | 33408 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518270149 | 2010-07-25 | 2010-07-26 | 745 US 1, SUITE 203, NORTH PALM BEACH, FL, 334084409, US | 745 US 1, SUITE 203, NORTH PALM BEACH, FL, 334084409, US | |||||||||||||||||||||||||
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| Phone | +1 561-247-0825 |
| Fax | 5614912503 |
Authorized person
| Name | DR. ROSALIA PADREDI LEITE-EVANS |
| Role | DIRECTOR |
| Phone | 5612470825 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 96150 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 276077100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEITE-EVANS, ROSALIA P | Agent | 5200 N FLAGLER DRIVE, #2303, WEST PALM BEACH, FL 33407 |
| Name | Role | Address |
|---|---|---|
| LEITE-EVANS, ROSALIA P., MD | Managing Member | 745, US 1 SUITE # 203 NORTH PALM BEACH, FL 33408 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000062945 | PALM BEACH HELLO HEALTH | ACTIVE | 2010-07-08 | 2025-12-31 | No data | 745 US HIGHWAY ONE, SUITE 203, NORTH PALM BEACH, FL, 33408 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-06 | 745 US 1, SUITE # 203, NORTH PALM BEACH, FL 33408 | No data |
| LC AMENDMENT | 2010-09-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-27 |
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-05-20 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-02-09 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
