| Entity Name: | FLORIDA AGING MENTAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Aug 2017 (8 years ago) |
| Document Number: | L17000163872 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 8176 Natures Way, #27, Lakewood Ranch, FL, 34202, US |
| Mail Address: | 8176 Natures Way, #27, Lakewood Ranch, FL, 34202, US |
| ZIP code: | 34202 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922523497 | 2017-08-07 | 2023-04-14 | 10210 MARSH HARBOR WAY APT 6, RIVERVIEW, FL, 33578, US | 5827 OAK BRIDGE CT, BRADENTON, FL, 342111734, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 352-208-0284 |
Authorized person
| Name | CHRISTOPHER ANTHONY WILCOX |
| Role | LCSW CONSULTANT |
| Phone | 3522080284 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | 14000 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | No |
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | No |
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WILCOX CHRISTOPHER A | Agent | 8176 Natures Way, Lakewood Ranch, FL, 34202 |
| Name | Role | Address |
|---|---|---|
| WILCOX CHRISTOPHER A | Manager | 8176 Natures Way, Lakewood Ranch, FL, 34202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-18 | 8176 Natures Way, #27, Lakewood Ranch, FL 34202 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-18 | 8176 Natures Way, #27, Lakewood Ranch, FL 34202 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-18 | 8176 Natures Way, #27, Lakewood Ranch, FL 34202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-03-02 |
| ANNUAL REPORT | 2020-04-18 |
| ANNUAL REPORT | 2019-06-06 |
| ANNUAL REPORT | 2018-04-11 |
| Florida Limited Liability | 2017-08-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
