| Entity Name: | CENTRICITY MOBILE HEALTH CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 May 2019 (6 years ago) |
| Document Number: | L19000134658 |
| FEI/EIN Number | 85-4196605 |
| Address: | 6805 South Federal HWY, Port Saint Lucie, FL, 34952, US |
| Mail Address: | 6805 S US Hwy 1, Port Saint Lucie FL, 3495, Port Saint Lucie, FL, 34952, US |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578144705 | 2021-04-19 | 2021-04-19 | 6805 S FEDERAL HWY, PORT ST LUCIE, FL, 349521434, US | 6805 S FEDERAL HWY, PORT ST LUCIE, FL, 349521434, US | |||||||||||||
|
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| Phone | +1 772-242-1269 |
Authorized person
| Name | BINETTE APSALON DORMINIER |
| Role | OWNER |
| Phone | 5613192548 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DORMINIER RODRIGUE BAPTI | Agent | 6805 South Federal HWY, Port Saint Lucie, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| Apsalon Dorminier Binette | Member | 6805 South Federal HWY, Port Saint Lucie, FL, 34952 |
| Dorminier RODRIGUE | Member | 6805 South Federal HWY, Port Saint Lucie, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-23 | 6805 South Federal HWY, Port Saint Lucie, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-29 | 6805 South Federal HWY, Port Saint Lucie, FL 34952 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-23 | 6805 South Federal HWY, Port Saint Lucie, FL 34952 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-30 | DORMINIER, RODRIGUE BAPTISTE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-23 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-01-23 |
| ANNUAL REPORT | 2020-06-30 |
| Florida Limited Liability | 2019-05-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
