| Entity Name: | LEVANTE MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Jul 2010 (15 years ago) |
| Document Number: | L10000070544 |
| FEI/EIN Number | 27-2936656 |
| Address: | 3608 SE 33rd Avenue, Ocala, FL 34471 |
| Mail Address: | 3608 SE 33rd Avenue, Ocala, FL 34471 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801183397 | 2011-07-05 | 2011-08-29 | 1638 LEESBURG BLVD, FRUITLAND PARK, FL, 347315215, US | 112 S MAIN ST, WILDWOOD, FL, 347854539, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-326-4269 |
| Fax | 3523269266 |
| Phone | +1 352-250-2610 |
Authorized person
| Name | DONNA JEAN O'HARA |
| Role | OWNER |
| Phone | 3522502610 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| License Number | ARNP2152202 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID INDIVIDUAL PROVIDER NUMBER - SEE OTHER #'S DESIGNATED FOR LLC |
| Number | 000360200 |
| State | FL |
| Issuer | NPI INDIVIDUAL RENDERING PROVIDER |
| Number | 1710186267 |
| State | FL |
| Issuer | MEDICARE INDIVIDUAL PROVIDER NUMBER - SEE OTHER DESIGNATED #'S FOR LLC |
| Number | AL386 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| O'HARA, DONNA JEAN | Agent | 3608 SE 33rd Avenue, Ocala, FL 34471 |
| Name | Role | Address |
|---|---|---|
| O'HARA, DONNA JEAN | Manager | 3608 SE 33rd Avenue, Ocala, FL 34471 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000063387 | LEVANTE MEDICAL LLC | ACTIVE | 2010-07-08 | 2025-12-31 | No data | 3608 SE 33RD AVE, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-31 | 3608 SE 33rd Avenue, Ocala, FL 34471 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-14 | 3608 SE 33rd Avenue, Ocala, FL 34471 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-14 | 3608 SE 33rd Avenue, Ocala, FL 34471 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-03 |
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-16 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-03-19 |
| ANNUAL REPORT | 2016-02-13 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
