| Entity Name: | FLETA MEDICAL CARE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FLETA MEDICAL CARE CENTER, LLC 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: | 08 Dec 2014 (10 years ago) |
| Document Number: | L14000186708 |
| FEI/EIN Number |
47-2477341
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2089 S. RIDGEWOOD AVENUE, SOUTH DAYTONA, FL, 32119 |
| Mail Address: | 2089 S. RIDGEWOOD AVENUE, SOUTH DAYTONA, FL, 32119, US |
| ZIP code: | 32119 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871991539 | 2014-12-11 | 2014-12-11 | 500 MEMORIAL CIR, SUITE A, ORMOND BEACH, FL, 321745071, US | 2089 S RIDGEWOOD AVE, SOUTH DAYTONA, FL, 321192240, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 386-334-1295 |
| Phone | +1 386-767-7533 |
Authorized person
| Name | MR. PATRICK JOHN LARRAZABAL |
| Role | AR/ PROVIDER |
| Phone | 3863341295 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| O'CONNOR MARI JEAN L | Manager | 280 GULL DRIVE SOUTH, DAYTONA BEACH, FL, 32119 |
| O'Connor Mari Jean | Auth | 2089 S. RIDGEWOOD AVENUE, SOUTH DAYTONA, FL, 32119 |
| Larrazabal Patrick | Auth | 109 Creek Forest Lane, Ormond Beach, FL, 32174 |
| OConnor Mari Jean | Agent | 2089 S Ridgewood Ave, South Daytona, FL, 321192240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-17 | OConnor, Mari Jean | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-06 | 2089 S Ridgewood Ave, South Daytona, FL 32119-2240 | - |
| CHANGE OF MAILING ADDRESS | 2018-01-18 | 2089 S. RIDGEWOOD AVENUE, SOUTH DAYTONA, FL 32119 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-04-25 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
