| Entity Name: | BAY AREA MOBILE CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Jan 2018 (7 years ago) |
| Document Number: | L18000017016 |
| FEI/EIN Number | 82-4108193 |
| Address: | 15000 Citrus Country Drive, 414, Dade City, FL 33523 |
| Mail Address: | 15000 Citrus Country Drive, 414, Dade City, FL 33523 |
| ZIP code: | 33523 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235637398 | 2018-01-24 | 2021-03-30 | 15000 CITRUS COUNTRY DR # 414, DADE CITY, FL, 335236014, US | 15000 CITRUS COUNTRY DR # 414, DADE CITY, FL, 335236014, US | |||||||||||||
|
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| Phone | +1 813-924-8911 |
Authorized person
| Name | JUNISE BELIZAIRE |
| Role | OWNER |
| Phone | 8139248911 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BELIZAIRE, JUNISE | Agent | 15000 Citrus Country Drive, 414, Dade City, FL 33523 |
| Name | Role | Address |
|---|---|---|
| BELIZAIRE, JUNISE | Authorized Representative | 15000 Citrus Country Drive, 414 Dade City, FL 33523 |
| BELIZAIRE, HANDY | Authorized Representative | 15000 Citrus Country Drive, 414 Dade City, FL 33523 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-30 | 15000 Citrus Country Drive, 414, Dade City, FL 33523 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-30 | 15000 Citrus Country Drive, 414, Dade City, FL 33523 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-30 | 15000 Citrus Country Drive, 414, Dade City, FL 33523 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-02-08 |
| ANNUAL REPORT | 2019-04-05 |
| Florida Limited Liability | 2018-01-19 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
