| Entity Name: | TOTAL LIFE CARE CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 May 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Mar 2020 (5 years ago) |
| Document Number: | L17000109206 |
| FEI/EIN Number | 82-1555420 |
| Address: | 6852 Country Lakes Cir., SARASOTA, FL 34243 |
| Mail Address: | 6852 Country Lakes Cir, SARASOTA, FL 34243 |
| ZIP code: | 34243 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841728698 | 2017-05-24 | 2018-03-01 | PO BOX 3941, SARASOTA, FL, 342303941, US | 55 S PALM AVE, SARASOTA, FL, 342365610, US | |||||||||||||||||
|
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| Phone | +1 941-777-5661 |
Authorized person
| Name | ROSHUNYA SHAVON CLARK |
| Role | CEO |
| Phone | 3528705025 |
Taxonomy
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| License Number | ARNP9214368 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CLARK, ROSHUNYA | Agent | 6852 country lakes CIRCLE, SARASOTA, FL 34243 |
| Name | Role | Address |
|---|---|---|
| CLARK, ROSHUNYA | Chief Executive Officer | 6852 Country Lakes CIRCLE, SARASOTA, FL 34243 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-12 | 6852 Country Lakes Cir., SARASOTA, FL 34243 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-29 | 6852 Country Lakes Cir., SARASOTA, FL 34243 | No data |
| REINSTATEMENT | 2020-03-18 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-18 | CLARK, ROSHUNYA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-18 | 6852 country lakes CIRCLE, SARASOTA, FL 34243 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-09-06 |
| ANNUAL REPORT | 2023-03-24 |
| ANNUAL REPORT | 2022-09-12 |
| ANNUAL REPORT | 2021-04-29 |
| REINSTATEMENT | 2020-03-18 |
| ANNUAL REPORT | 2018-02-04 |
| Florida Limited Liability | 2017-05-17 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
