| Entity Name: | EZ HEALTHCARE AND COUNSELING PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 May 2018 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 24 Jan 2022 (3 years ago) |
| Document Number: | L18000133504 |
| FEI/EIN Number | 83-0776843 |
| Address: | 407 WEKIVA SPRINGS RD, SUITE 207J, LONGWOOD, FL, 32779, US |
| Mail Address: | 407 WEKIVA SPRINGS RD, SUITE 207J, LONGWOOD, FL, 32779, US |
| ZIP code: | 32779 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184110835 | 2018-07-05 | 2019-08-12 | 407 WEKIVA SPRINGS RD STE 207J, LONGWOOD, FL, 327796096, US | 407 WEKIVA SPRINGS RD STE 207J, LONGWOOD, FL, 327796096, US | |||||||||||||||||||||||||||
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| Phone | +1 407-999-6086 |
| Fax | 4076046803 |
Authorized person
| Name | DR. ISSA JASON ZEIDAN |
| Role | OWNER |
| Phone | 4079996086 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME121800 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| License Number | ME121800 |
| State | FL |
| Is Primary | No |
| Name | Role |
|---|---|
| REPUBLIC REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| LEIGH FOWLER SHANNON | Authorized Member | 407 WEKIVA SPRINGS RD, SUITE 207 J., LONGWOOD, FL, 32779 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-26 | 407 WEKIVA SPRINGS RD, SUITE 207J, LONGWOOD, FL 32779 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-26 | 407 WEKIVA SPRINGS RD, SUITE 207J, LONGWOOD, FL 32779 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-26 | 1150 NW 72ND AVE TOWER 1, STE 455, MIAMI, FL 33126 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-26 | REPUBLIC REGISTERED AGENT LLC | No data |
| LC AMENDMENT | 2022-01-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-14 |
| LC Amendment | 2022-01-24 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-04-11 |
| ANNUAL REPORT | 2019-04-03 |
| Florida Limited Liability | 2018-05-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
