| Entity Name: | SIEVERT CLINIC, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SIEVERT CLINIC, L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 19 Sep 2013 (11 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 19 Sep 2013 (11 years ago) |
| Document Number: | L13000133216 |
| FEI/EIN Number |
592129241
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3800 COLONIAL BLVD, STE 200, Fort Myers, FL, 33966-1075, US |
| Mail Address: | 3800 COLONIAL BLVD, STE 200, Fort Myers, FL, 33966-1075, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447201660 | 2006-05-12 | 2013-09-23 | 3880 COLONIAL BLVD, SUITE 1A, FORT MYERS, FL, 339661062, US | 3880 COLONIAL BLVD, SUITE 1A, FORT MYERS, FL, 339661062, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 239-936-1233 |
| Fax | 2399368576 |
Authorized person
| Name | DR. THOMAS D. SIEVERT |
| Role | PRESIDENT |
| Phone | 2399361233 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH3599 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS9565 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP2826072 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 77550 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Sievert Thomas DDr. | Manager | 3800 COLONIAL BLVD, Fort Myers, FL, 33966 |
| Edward Jaime | Agent | 3800 COLONIAL BLVD, Fort Myers, FL, 339661075 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000100935 | SIEVERT CLINIC AND WELLNESS CENTER | ACTIVE | 2013-10-11 | 2028-12-31 | - | 3800 COLONIAL BLVD. STE 200, FORT MYERS, FL, 33966 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-02 | 3800 COLONIAL BLVD, STE 200, Fort Myers, FL 33966-1075 | - |
| CHANGE OF MAILING ADDRESS | 2024-02-02 | 3800 COLONIAL BLVD, STE 200, Fort Myers, FL 33966-1075 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-02 | 3800 COLONIAL BLVD, STE 200, Fort Myers, FL 33966-1075 | - |
| REGISTERED AGENT NAME CHANGED | 2023-02-13 | Edward, Jaime | - |
| CONVERSION | 2013-09-19 | - | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS 696604. CONVERSION NUMBER 700000134357 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-03-28 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-02-20 |
| ANNUAL REPORT | 2017-03-07 |
| ANNUAL REPORT | 2016-04-27 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
