| Entity Name: | TOTAL HEALTHCARE ALLIANCE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 May 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Nov 2024 (3 months ago) |
| Document Number: | L16000085410 |
| FEI/EIN Number | 81-3405127 |
| Address: | 3510 DR MARTIN LUTHER KING BLVD, FORT MYERS, FL, 33916, US |
| Mail Address: | 3891 BURRFIELD ST, FORT MYERS, FL, 33916, US |
| ZIP code: | 33916 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487276663 | 2020-05-11 | 2022-02-25 | 3510 DR MARTIN LUTHER KING BLVD STE 1, FORT MYERS, FL, 339164608, US | 3510 DR MARTIN LUTHER KING BLVD STE 1, FORT MYERS, FL, 339164608, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 239-488-2580 |
| Phone | +1 239-826-4192 |
Authorized person
| Name | DR. SHADREKA MCINTOSH |
| Role | OWNER |
| Phone | 2394882580 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 108203100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCINTOSH SHADREKA T | Agent | 3510 DR MARTIN LUTHER KING BLVD, FORT MYERS, FL, 33916 |
| Name | Role | Address |
|---|---|---|
| MCINTOSH SHADREKA T | Chief Executive Officer | 3510 DR MARTIN LUTHER KING BLVD, FORT MYERS, FL, 33916 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000049083 | SOZO WELLNESS PHARMACY | EXPIRED | 2019-04-20 | 2024-12-31 | No data | 503 HIBISCUS AVE, LEHIGH ACRES, FL, 33972 |
| G17000038575 | PHARMASSIST CARE | EXPIRED | 2017-04-11 | 2022-12-31 | No data | 503 HIBISCUS AVE, LEHIGH ACRES, FL, 33972 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-11-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-11-08 | MCINTOSH, SHADREKA T | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-20 | 3510 DR MARTIN LUTHER KING BLVD, STE 1, FORT MYERS, FL 33916 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-20 | 3510 DR MARTIN LUTHER KING BLVD, STE 1, FORT MYERS, FL 33916 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-27 | 3510 DR MARTIN LUTHER KING BLVD, STE 1, FORT MYERS, FL 33916 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000288078 | TERMINATED | 1000000924822 | LEE | 2022-06-03 | 2042-06-15 | $ 3,219.62 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-08 |
| ANNUAL REPORT | 2023-07-05 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-20 |
| ANNUAL REPORT | 2020-06-27 |
| ANNUAL REPORT | 2019-04-20 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-07-11 |
| Florida Limited Liability | 2016-05-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
