| Entity Name: | CAREMED CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Feb 2019 (6 years ago) |
| Document Number: | L19000047882 |
| FEI/EIN Number | 84-2589656 |
| Address: | 4719 HWY 90, MARIANNA, FL, 32446, US |
| Mail Address: | 4719 HWY 90, MARIANNA, FL, 32446, US |
| ZIP code: | 32446 |
| County: | Jackson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760122287 | 2022-03-31 | 2022-03-31 | PO BOX 14397, POLAND, OH, 445147397, US | 4719 HIGHWAY 90, MARIANNA, FL, 324467839, US | |||||||||||||||||||||||||||
|
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| Phone | +1 330-758-2775 |
| Fax | 3307582787 |
| Phone | +1 850-526-3314 |
| Fax | 8505265022 |
Authorized person
| Name | AMY DEMATTEO |
| Role | CREDENTIALING MANAGER |
| Phone | 3307582775 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Maddipati Murali Krishna | Agent | 4719 HWY 90, MARIANNA, FL, 32446 |
| Name | Role | Address |
|---|---|---|
| Maddipati Murali Krishna | Authorized Member | 4719 HWY 90, MARIANNA, FL, 32446 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-07 | Maddipati, Murali Krishna | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-16 | 4719 HWY 90, MARIANNA, FL 32446 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-09-21 | 4719 HWY 90, MARIANNA, FL 32446 | No data |
| CHANGE OF MAILING ADDRESS | 2019-09-21 | 4719 HWY 90, MARIANNA, FL 32446 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-03 |
| ANNUAL REPORT | 2024-03-01 |
| AMENDED ANNUAL REPORT | 2023-04-13 |
| AMENDED ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-27 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-02-16 |
| Florida Limited Liability | 2019-02-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
