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COMMUNITY HEALTH OF TALLAHASSEE, LLC

Company Details

Entity Name: COMMUNITY HEALTH OF TALLAHASSEE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Sep 2011 (13 years ago)
Document Number: L11000108592
FEI/EIN Number 453436985
Address: 325 5th Avenue, Indialantic, FL, 32903, US
Mail Address: 325 5th Avenue, Indialantic, FL, 32903, US
ZIP code: 32903
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952687923 2011-10-22 2012-02-06 325 5TH AVE, SUITE 204, INDIALANTIC, FL, 329034273, US 325 5TH AVE, SUITE 204, INDIALANTIC, FL, 329034273, US

Contacts

Phone +1 321-674-9838

Authorized person

Name MS. NOIRIN FOLEY
Role MEMBER/MANAGER
Phone 3218214889

Taxonomy

Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
Studenberg, Esq. Ganon J Agent 1119 Palmetto Avenue, Melbourne, FL, 32901

Manager

Name Role Address
ST. CLAIR DOUGLAS Manager 325 5th Avenue, Indialantic, FL, 32903
Campanile Tina Manager 325 5th Avenue, Indialantic, FL, 32903

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000099169 SURFSIDE URGENT CARE ACTIVE 2023-08-24 2028-12-31 No data 325 5TH AVENUE, SUITE 204, INDIALANTIC, FL, 32903
G22000089501 COMMUNITY HEALTH OF TALLAHASSEE, LLC ACTIVE 2022-07-29 2027-12-31 No data COMMUNITY HEALTH OF TALLAHASSEE, LLC, PO BOX 2017, MELBOURNE, FL, 32902
G11000093798 SURFSIDE URGENT CARE EXPIRED 2011-09-22 2016-12-31 No data PO BOX 2017, MELBOURNE, FL, 32901

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2019-01-25 325 5th Avenue, Suite 204, Indialantic, FL 32903 No data
CHANGE OF PRINCIPAL ADDRESS 2015-01-17 325 5th Avenue, Suite 204, Indialantic, FL 32903 No data
REGISTERED AGENT NAME CHANGED 2015-01-17 Studenberg, Esq., Ganon J No data
REGISTERED AGENT ADDRESS CHANGED 2015-01-17 1119 Palmetto Avenue, Melbourne, FL 32901 No data

Documents

Name Date
ANNUAL REPORT 2025-01-20
ANNUAL REPORT 2024-01-09
ANNUAL REPORT 2023-01-12
ANNUAL REPORT 2022-01-18
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-02-10
ANNUAL REPORT 2019-01-25
ANNUAL REPORT 2018-04-20
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-23

Date of last update: 01 Feb 2025

Sources: Florida Department of State