| Entity Name: | CHANGES HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 08 Nov 2013 (11 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L13000157746 |
| FEI/EIN Number | 35-2488475 |
| Address: | 12780 WATERFORD LAKES PARKWAY, SUITE 100A, ORLANDO, FL 32828 |
| Mail Address: | 12780 WATERFORD LAKES PARKWAY, SUITE 100A, ORLANDO, FL 32828 |
| ZIP code: | 32828 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841620531 | 2013-11-18 | 2013-11-18 | 12780 WATERFORD LAKES PRWY, SUITE 100, ORLANDO, FL, 328284501, US | 12780 WATERFORD LAKES PRWY, SUITE 100, ORLANDO, FL, 328284501, US | |||||||||||||||||||||||||||
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| Phone | +1 407-282-7300 |
| Fax | 4076814603 |
Authorized person
| Name | MR. ISMAEL A BELOSO |
| Role | OWNER |
| Phone | 4072827300 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1750538922 |
| State | FL |
| Issuer | MEDICAL LICENSE |
| Number | OS10148 |
| State | FL |
| Name | Role |
|---|---|
| QUADRANTZ INC. | Agent |
| Name | Role |
|---|---|
| QUADRANTZ INC. | Managing Member |
| KINGDOM COME ENTERPRISES, INC. | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-05-08 |
| Florida Limited Liability | 2013-11-08 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
