| Entity Name: | LEGACY ADVANCED HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Nov 2017 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 04 Dec 2017 (7 years ago) |
| Document Number: | L17000244452 |
| FEI/EIN Number | 823531898 |
| Address: | 1515 N UNIVERSITY DR. #120, CORAL SPRINGS, FL, 33071, US |
| Mail Address: | 4632 CITRON WAY, WESTLAKE, FL, 33470 |
| ZIP code: | 33071 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538651112 | 2018-05-31 | 2018-05-31 | 9864 GRAND VERDE WAY APT 1507, BOCA RATON, FL, 334283524, US | 9864 GRAND VERDE WAY APT 1507, BOCA RATON, FL, 334283524, US | |||||||||||||||
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| Phone | +1 561-563-5446 |
Authorized person
| Name | PAMELA DIANA MANNING |
| Role | OWNER/PRACTITIONER |
| Phone | 5615635446 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MANNING PAMELA | Agent | 4632 CITRON WAY, WESTLAKE, FL, 33470 |
| Name | Role | Address |
|---|---|---|
| Manning Pamela | Manager | 4632 CITRON WAY, WESTLAKE, FL, 33470 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2024-05-31 | HEALPRO HEALTHCARE SUPPLY LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-16 | 4632 CITRON WAY, WESTLAKE, FL 33470 | No data |
| LC AMENDMENT | 2017-12-04 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-16 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-06-14 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-24 |
| LC Amendment | 2017-12-04 |
| Florida Limited Liability | 2017-11-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
