| Entity Name: | OPTIMUM FAMILY HEALTH, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Jun 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L18000152156 |
| FEI/EIN Number | 87-3140010 |
| Mail Address: | 15910 HUTTON LANE, JACKSONVILLE, FL, 32218, US |
| Address: | 9424 Baymeadows Road, Suite 250, JACKSONVILLE, FL, 32256, US |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447922604 | 2021-10-05 | 2021-10-20 | 9424 BAYMEADOWS RD STE 250, JACKSONVILLE, FL, 322567967, US | 9424 BAYMEADOWS RD STE 250, JACKSONVILLE, FL, 322567967, US | |||||||||||||||||
|
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| Phone | +1 904-402-5539 |
Authorized person
| Name | NATASHA HENDERSON |
| Role | OWNER |
| Phone | 9044025539 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | APRN9205601 |
| Name | Role | Address |
|---|---|---|
| HENDERSON NATASHA N | Agent | 15910 HUTTON LANE, JACKSONVILLE, FL, 32218 |
| Name | Role | Address |
|---|---|---|
| HENDERSON NATASHA N | Manager | 15910 HUTTON LANE, JACKSONVILLE, FL, 32218 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000037898 | NULIFE WEIGHT LOSS SPECIALISTS | ACTIVE | 2022-03-23 | 2027-12-31 | No data | 15910 HUTTON LANE, JACKSONVILLE, FL, 32218 |
| G18000076813 | ESSENTIAL LIFE HYDRATION | EXPIRED | 2018-07-15 | 2023-12-31 | No data | 15910 HUTTON LANE, JACKSONVILLE, FL, 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-03 | 9424 Baymeadows Road, Suite 250, JACKSONVILLE, FL 32256 | No data |
| LC AMENDMENT AND NAME CHANGE | 2021-09-03 | OPTIMUM FAMILY HEALTH, PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| AMENDED ANNUAL REPORT | 2021-11-03 |
| LC Amendment and Name Change | 2021-09-03 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-04-11 |
| Florida Limited Liability | 2018-06-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
