| Entity Name: | ALL CHARACTER CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 Oct 2016 (8 years ago) |
| Date of dissolution: | 02 May 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 May 2017 (8 years ago) |
| Document Number: | L16000190674 |
| Address: | 13900 COUNTY ROAD 455, SUITE 107-404, CLERMONT, FL, 34711 |
| Mail Address: | 13900 COUNTY ROAD 455, SUITE 107-404, CLERMONT, FL, 34711 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477094746 | 2017-03-20 | 2023-05-08 | 13900 COUNTY ROAD 455, SUITE107-404, CLERMONT, FL, 347119052, US | 17011 STATE ROAD 50 STE 103, CLERMONT, FL, 347118203, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 310-721-3793 |
Authorized person
| Name | HEATHER DIAZ |
| Role | MANAGER |
| Phone | 3107213793 |
Taxonomy
| Taxonomy Code | 207KA0200X - Allergy Physician |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Taxonomy Code | 2080A0000X - Pediatric Adolescent Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 606281 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 277908100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PAUL ALBERT | Agent | 13900 COUNTY ROAD 455, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| SMITH M | Manager | 13900 COUNTY ROAD 455 SUITE 107-404, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-05-02 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2016-10-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
