| Entity Name: | DYNAMIC HEALTH CARE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jan 2013 (12 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 17 Jan 2013 (12 years ago) |
| Document Number: | L13000009609 |
| FEI/EIN Number | 45-3626195 |
| Address: | 703 VIRGINIA STREET, DUNEDIN, FL, 34698 |
| Mail Address: | 703 VIRGINIA STREET, DUNEDIN, FL, 34698, US |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861769671 | 2011-11-22 | 2015-07-01 | 703 VIRGINIA ST, DUNEDIN, FL, 346986615, US | 703 VIRGINIA ST, DUNEDIN, FL, 346986615, US | |||||||||||||||||||||||||||
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| Phone | +1 727-734-4000 |
| Fax | 7277244110 |
Authorized person
| Name | MRS. CINDY M WALKER |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 7277344000 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 002VD |
| State | FL |
| Issuer | MEDICAID |
| Number | 004449500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DILELLA VINCENT J | Agent | 703 VIRGINIA STREET, DUNEDIN, FL, 34698 |
| Name | Role | Address |
|---|---|---|
| DILELLA VINCENT J | Manager | 703 VIRGINIA STREET, DUNEDIN, FL, 34698 |
| Name | Role | Address |
|---|---|---|
| DiLella Lynne | Auth | 703 VIRGINIA STREET, DUNEDIN, FL, 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2014-08-14 | 703 VIRGINIA STREET, DUNEDIN, FL 34698 | No data |
| CONVERSION | 2013-01-17 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P11000089219. CONVERSION NUMBER 500000128705 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-03-07 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-01-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
