| Entity Name: | RECH CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Apr 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Oct 2022 (2 years ago) |
| Document Number: | L19000092921 |
| FEI/EIN Number | 83-4275052 |
| Address: | 2628 Forest Hill Blvd, West Palm Peach, FL, 33406, US |
| Mail Address: | 17714 33rd Rd N, Loxahatchee, FL, 33470, US |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518543776 | 2021-03-18 | 2022-03-28 | 6367 TRAILS OF FOXFORD CT, WEST PALM BEACH, FL, 334155133, US | 6367 TRAILS OF FOXFORD CT, WEST PALM BEACH, FL, 334155133, US | |||||||||||||||||||
|
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| Phone | +1 561-541-0326 |
Authorized person
| Name | CARLOS REYES CHOUZA |
| Role | APRN |
| Phone | 5615410326 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1174092035 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REYES CHOUZA CARLOS | Agent | 17714 33rd Rd N, Loxahatchee, FL, 33470 |
| Name | Role | Address |
|---|---|---|
| Reyes Chouza Carlos | Manager | 17714 33rd Rd N, Loxahatchee, FL, 33470 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000118182 | REYES MEDICAL CENTER LLC | ACTIVE | 2023-09-25 | 2028-12-31 | No data | 2628 FOREST HILL BLVD, WEST PALM BEACH, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-10 | 2628 Forest Hill Blvd, West Palm Peach, FL 33406 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-10 | 17714 33rd Rd N, Loxahatchee, FL 33470 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-28 | 2628 Forest Hill Blvd, West Palm Peach, FL 33406 | No data |
| REINSTATEMENT | 2022-10-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-06 | REYES CHOUZA, CARLOS | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-10 |
| ANNUAL REPORT | 2023-04-06 |
| REINSTATEMENT | 2022-10-06 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-06-09 |
| Florida Limited Liability | 2019-04-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
