| Entity Name: | VERIMED HEALTH GROUP RIVERVIEW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Mar 2014 (11 years ago) |
| Document Number: | L14000049035 |
| FEI/EIN Number | 46-5318548 |
| Address: | 11924 BALM RIVERVIEW RD, RIVERVIEW, FL, 33569, US |
| Mail Address: | 11924 BALM RIVERVIEW RD, RIVERVIEW, FL, 33569, US |
| ZIP code: | 33569 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912326851 | 2014-04-08 | 2024-09-30 | 11924 BALM RIVERVIEW RD, RIVERVIEW, FL, 335696601, US | 11924 BALM RIVERVIEW RD, RIVERVIEW, FL, 335696601, US | |||||||||||||
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| Phone | +1 813-672-3200 |
Authorized person
| Name | MIHAELA SHIELDS |
| Role | ADMINISTRATOR |
| Phone | 8136723200 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REVELLO MARTIN | Agent | 26838 TANIC DRIVE, WESLEY CHAPEL, FL, 33544 |
| Name | Role |
|---|---|
| JJAM HEALTHCARE HOLDINGS, LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-19 | 11924 BALM RIVERVIEW RD, RIVERVIEW, FL 33569 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-19 | 11924 BALM RIVERVIEW RD, RIVERVIEW, FL 33569 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-07 | REVELLO, MARTIN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-07 | 26838 TANIC DRIVE, WESLEY CHAPEL, FL 33544 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-03-07 |
| ANNUAL REPORT | 2016-03-23 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
