| Entity Name: | ISLAND FAMILY HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Oct 2018 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 06 Feb 2024 (a year ago) |
| Document Number: | L18000233007 |
| FEI/EIN Number | 83-2173520 |
| Address: | 260 N. TROPICAL TRAIL, MERRITT ISLAND, FL, 32953, US |
| Mail Address: | 260 N. TROPICAL TRAIL, MERRITT ISLAND, FL, 32953, US |
| ZIP code: | 32953 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568939478 | 2018-10-29 | 2022-08-26 | 260 N TROPICAL TRL STE 105, MERRITT ISLAND, FL, 329534800, US | 260 N TROPICAL TRL STE 105, MERRITT ISLAND, FL, 329534800, US | |||||||||||||||
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| Phone | +1 321-208-8258 |
| Fax | 3217357186 |
Authorized person
| Name | NIKOLAOS KANELLOPOULOS |
| Role | OWNER |
| Phone | 3212088258 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KANELLOPOULOS NIKOLAOS | Agent | 260 N. TROPICAL TRAIL, MERRITT ISLAND, FL, 32953 |
| Name | Role | Address |
|---|---|---|
| KANELLOPOULOS NIKOLAOS | Authorized Member | 260 N. TROPICAL TRAIL, MERRITT ISLAND, FL, 32953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-02-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-06 | KANELLOPOULOS, NIKOLAOS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-06 | 260 N. TROPICAL TRAIL, SUITE 105, MERRITT ISLAND, FL 32953 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-21 | 260 N. TROPICAL TRAIL, SUITE 105, MERRITT ISLAND, FL 32953 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-21 | 260 N. TROPICAL TRAIL, SUITE 105, MERRITT ISLAND, FL 32953 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| LC Amendment | 2024-02-06 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-03-05 |
| ANNUAL REPORT | 2019-01-21 |
| Florida Limited Liability | 2018-10-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
