| Entity Name: | GREEN HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Oct 2016 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 17 Jan 2017 (8 years ago) |
| Document Number: | L16000199678 |
| FEI/EIN Number | 81-4301262 |
| Address: | 5401 KIRKMAN ROAD, SUITE 310, ORLANDO, FL, 32819, US |
| Mail Address: | 5401 KIRKMAN ROAD, SUITE 310, ORLANDO, FL, 32819, US |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598361677 | 2020-12-05 | 2021-05-29 | 5401 S KIRKMAN RD STE 310, ORLANDO, FL, 328197937, US | 5401 S KIRKMAN RD STE 310, ORLANDO, FL, 328197937, US | |||||||||||||||
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| Phone | +1 407-759-3311 |
| Fax | 4076020894 |
Authorized person
| Name | KIM SUSAN WILLIAMS |
| Role | MGR |
| Phone | 4077593311 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILLIAMS KIM S | Agent | 5401 KIRKMAN ROAD 310, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS KIM S | Manager | 5401 KIRKMAN ROAD 310, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| CLAYTON GRANTLEY F | Authorized Person | 5401 KIRKMAN ROAD, ORLANDO, FL, 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-10-15 | 5401 KIRKMAN ROAD 310, ORLANDO, FL 32819 | No data |
| CHANGE OF MAILING ADDRESS | 2021-06-04 | 5401 KIRKMAN ROAD, SUITE 310, ORLANDO, FL 32819 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-04 | 5401 KIRKMAN ROAD, SUITE 310, ORLANDO, FL 32819 | No data |
| LC AMENDMENT | 2017-01-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-27 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-01-16 |
| ANNUAL REPORT | 2020-08-20 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-02-10 |
| ANNUAL REPORT | 2017-01-29 |
| LC Amendment | 2017-01-17 |
| Florida Limited Liability | 2016-10-31 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
