| Entity Name: | CARE DELIVERY ALLIANCE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 Mar 2015 (10 years ago) |
| Document Number: | L15000068444 |
| FEI/EIN Number | 47-3889954 |
| Address: | 600 EAST DIXIE AVENUE, LEESBURG, FL 34748 |
| Mail Address: | 600 EAST DIXIE AVENUE, LEESBURG, FL 34748 |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467820795 | 2015-09-03 | 2015-09-08 | 701 N PALMETTO ST, SUITE F, LEESBURG, FL, 347484493, US | 701 N PALMETTO ST, SUITE F, LEESBURG, FL, 347484493, US | |||||||||||||||||
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| Phone | +1 352-323-5665 |
| Fax | 3523231092 |
Authorized person
| Name | MRS. TRACY CHILDRESS |
| Role | ADMINISTRATIVE DIRECTOR |
| Phone | 3523235665 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRAUN, PHILIP J | Agent | 715 WEST OAK TERRACE DR., LEESBURG, FL 34748 |
| Name | Role | Address |
|---|---|---|
| DAVIDYOCK, JOHN, Dr. | Manager | 600 EAST DIXIE AVENUE, LEESBURG, FL 34748 |
| WEST, JEFFREY S. | Manager | 600 EAST DIXIE AVENUE, LEESBURG, FL 34748 |
| LONG, HEATHER | Manager | 600 EAST DIXIE AVENUE, LEESBURG, FL 34748 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-03-02 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-03-14 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-03-10 |
| Florida Limited Liability | 2015-03-31 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
