Entity Name: | HOUSE CALL CONCIERGE MEDICINE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 20 Aug 2018 (6 years ago) |
Document Number: | L18000198068 |
FEI/EIN Number | 83-4601045 |
Address: | 865 Longboat Club Rd., Longboat Key, FL, 34228, US |
Mail Address: | 320 Park Road, Webster Groves, MO, 63119, US |
ZIP code: | 34228 |
County: | Sarasota |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326809559 | 2024-01-16 | 2024-01-16 | 320 PARK RD, WEBSTER GROVES, MO, 631192533, US | 865 LONGBOAT CLUB RD, LONGBOAT KEY, FL, 342283803, US | |||||||||||||||
|
Phone | +1 314-452-3780 |
Fax | 7312015047 |
Authorized person
Name | DR. KIRK NIELSEN O'DONNELL |
Role | CO-OWNER, CO-FOUNDER, AND CLINICIAN |
Phone | 3144523780 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
O'DONNELL STEPHANIE | Agent | 865 Longboat Club Rd., Longboat Key, FL, 34228 |
Name | Role | Address |
---|---|---|
O'Donnell Stephanie | Manager | 865 Longboat Club Rd., Longboat Key, FL, 34228 |
O'DONNELL KIRK NMD | Manager | 865 Longboat Club Rd., Longboat Key, FL, 34228 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-03-02 | 865 Longboat Club Rd., Longboat Key, FL 34228 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-03-02 | 865 Longboat Club Rd., Longboat Key, FL 34228 | No data |
CHANGE OF MAILING ADDRESS | 2021-05-03 | 865 Longboat Club Rd., Longboat Key, FL 34228 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-16 |
ANNUAL REPORT | 2023-03-09 |
ANNUAL REPORT | 2022-03-02 |
ANNUAL REPORT | 2021-05-03 |
ANNUAL REPORT | 2020-06-03 |
ANNUAL REPORT | 2019-05-01 |
Florida Limited Liability | 2018-08-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State