| Entity Name: | HEALING TREE INTERNAL MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Sep 2017 (7 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 30 Apr 2019 (6 years ago) |
| Document Number: | L17000194428 |
| FEI/EIN Number | 84-2609934 |
| Address: | 3044 W NEW HAVEN AVE, WEST MELBOURNE, FL 32904 |
| Mail Address: | 3044 W NEW HAVEN AVE, WEST MELBOURNE, FL 32904 |
| ZIP code: | 32904 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154987089 | 2019-05-16 | 2019-08-06 | 1934 BOTANICA CIR, WEST MELBOURNE, FL, 329047333, US | 3044 W NEW HAVEN AVE, MELBOURNE, FL, 329043566, US | |||||||||||||
|
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| Phone | +1 716-907-2834 |
Authorized person
| Name | MUDANAI SABAPATHY |
| Role | OWNER |
| Phone | 7169072834 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| SABAPATHY, MUDANAI P | Authorized Member | 1934 BOTANICA CIR., WEST MELBOURNE, FL 32904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-02 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| LC NAME CHANGE | 2019-04-30 | HEALING TREE INTERNAL MEDICINE, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-19 | 3044 W NEW HAVEN AVE, WEST MELBOURNE, FL 32904 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-19 | 3044 W NEW HAVEN AVE, WEST MELBOURNE, FL 32904 | No data |
| LC NAME CHANGE | 2019-04-11 | STAR INTERNAL MEDICINE, PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-16 |
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-13 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-02-18 |
| ANNUAL REPORT | 2020-03-30 |
| LC Name Change | 2019-04-30 |
| LC Name Change | 2019-04-11 |
| ANNUAL REPORT | 2019-03-21 |
| ANNUAL REPORT | 2018-04-25 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
