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CHAMPION COMPREHENSIVE VIRTUAL SERVICES LLC

Company Details

Entity Name: CHAMPION COMPREHENSIVE VIRTUAL SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Jan 2019 (6 years ago)
Document Number: L19000027984
FEI/EIN Number 83-3311410
Address: 725 69th Ave South, St Petersburg, FL, 33705, US
Mail Address: 277 DAHL RD, CHAMPION, PA, 15622, UN
ZIP code: 33705
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265000327 2021-06-15 2021-06-28 277 DAHL RD, CHAMPION, PA, 156222077, US 860 BAY VISTA BLVD S, ST PETERSBURG, FL, 337055947, US

Contacts

Phone +1 724-455-2120
Phone +1 724-812-1101

Authorized person

Name DR. KATHERINE FERRARI
Role FOUNDER
Phone 7248121101

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
FERRARI KATHERINE D Agent 725 69th Ave South, St Petersburg, FL, 33705

Chief Executive Officer

Name Role Address
Ferrari Katherine DPhD Chief Executive Officer 725 69th Ave, St Petersburg, FL, 33705

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-29 725 69th Ave South, St Petersburg, FL 33705 No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-29 725 69th Ave South, St Petersburg, FL 33705 No data

Documents

Name Date
ANNUAL REPORT 2025-01-08
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-01-06
ANNUAL REPORT 2022-01-29
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-23
Florida Limited Liability 2019-01-28

Date of last update: 02 Feb 2025

Sources: Florida Department of State