| Entity Name: | CALFA HEALTH IT SOLUTION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Aug 2012 (13 years ago) |
| Document Number: | L12000105329 |
| FEI/EIN Number | 46-0795735 |
| Address: | 10330 Waterside Ct, Parkland, FL 33076 |
| Mail Address: | 10330 Waterside Ct, Parkland, FL 33076 |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891522652 | 2024-09-16 | 2024-09-16 | 10330 WATERSIDE CT, PARKLAND, FL, 330762879, US | 2139 N UNIVERSITY DR STE 2256, CORAL SPRINGS, FL, 330716134, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 410-807-2372 |
Authorized person
| Name | MRS. FARAH PHILIPPE |
| Role | DIRECTOR |
| Phone | 4108072372 |
Taxonomy
| Taxonomy Code | 261QM1000X - Migrant Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 282E00000X - Long Term Care Hospital |
| Is Primary | No |
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | No |
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPPES |
| Number | 1881266526 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PHILIPPE, CALEB | Agent | 10330 Waterside Ct, Parkland, FL 33076 |
| Name | Role | Address |
|---|---|---|
| PHILIPPE, CALEB | Manager | 10330 Waterside Ct, Parkland, FL 33076 |
| Name | Role | Address |
|---|---|---|
| PHILIPPE, FARAH | Managing Member | 5120 NW 98TH DRIVE, CORAL SPRINGS, FL 33076 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000047834 | CALFA HEALTHCARE SERVICES LLC | ACTIVE | 2024-04-09 | 2029-12-31 | No data | 10330 WATERSIDE CT, PARKLAND, FL, 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-16 | 10330 Waterside Ct, Parkland, FL 33076 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-16 | 10330 Waterside Ct, Parkland, FL 33076 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-16 | 10330 Waterside Ct, Parkland, FL 33076 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-02-23 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-03-04 |
| ANNUAL REPORT | 2016-03-14 |
| ANNUAL REPORT | 2015-02-22 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
