| Entity Name: | LIVING FLORIDA HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 May 2018 (7 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 13 Sep 2019 (5 years ago) |
| Document Number: | L18000115552 |
| FEI/EIN Number | 830516307 |
| Address: | 4804 EDGEWATER DR, ORLANDO, FL, 32804, US |
| Mail Address: | 4804 EDGEWATER DR, ORLANDO, FL, 32804, US |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073006631 | 2018-06-08 | 2022-10-19 | 4804 EDGEWATER DR STE A, ORLANDO, FL, 328041126, US | 4804 EDGEWATER DR, ORLANDO, FL, 328041126, US | |||||||||||||||||||
|
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| Phone | +1 407-574-2121 |
| Fax | 8666824175 |
| Phone | +1 321-330-9330 |
| Fax | 3216977000 |
Authorized person
| Name | MR. TOM ANTHONY HARRIS |
| Role | ADMINISTRATOR |
| Phone | 4075742121 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| harris tom | Agent | 4804 EDGEWATER DR, ORLANDO, FL, 32804 |
| Name | Role | Address |
|---|---|---|
| HARRIS TOM | Authorized Member | 850 Edgewater Dr, ORLANDO, FL, 32804 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000078310 | LIVING FLORIDA HEALTHCARE | EXPIRED | 2018-07-19 | 2023-12-31 | No data | 12831 WATERHAVEN CIR, ORLANDO, FL, 32828 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-09 | 4804 EDGEWATER DR, A, ORLANDO, FL 32804 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-09 | 4804 EDGEWATER DR, A, ORLANDO, FL 32804 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-09 | 4804 EDGEWATER DR, A, ORLANDO, FL 32804 | No data |
| LC STMNT OF RA/RO CHG | 2019-09-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-09-13 | harris, tom | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-02-04 |
| CORLCRACHG | 2019-09-13 |
| ANNUAL REPORT | 2019-04-02 |
| Florida Limited Liability | 2018-05-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
