| Entity Name: | FLORIDA RHEUMATOLOGY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Jul 2018 (6 years ago) |
| Document Number: | L18000178522 |
| FEI/EIN Number | APPLIED FOR |
| Mail Address: | P.O. BOX 412077, MELBOURNE, FL 32941 |
| Address: | 7630 N. Wickham Rd., Suite 104, Melbourne, FL 32940 |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790269744 | 2018-09-16 | 2018-09-16 | PO BOX 412077, MELBOURNE, FL, 329412077, US | 7630 N WICKHAM RD STE 104, MELBOURNE, FL, 329408257, US | |||||||||||||||||||||
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| Phone | +1 321-725-1600 |
| Fax | 3217251600 |
Authorized person
| Name | LINNETTE LOPEZ LOPEZ |
| Role | OWNER |
| Phone | 3217251600 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 01239200 |
| State | FL |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Lopez Lopez , Linnette | Authorized Member | 8619 Serrano Cir., MELBOURNE, FL 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-03 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-22 | 7630 N. Wickham Rd., Suite 104, Melbourne, FL 32940 | No data |
| CHANGE OF MAILING ADDRESS | 2019-08-05 | 7630 N. Wickham Rd., Suite 104, Melbourne, FL 32940 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-27 |
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-04-13 |
| ANNUAL REPORT | 2019-08-05 |
| Florida Limited Liability | 2018-07-25 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
