| Entity Name: | DIVINE CARE MANAGEMENT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 May 2019 (6 years ago) |
| Document Number: | L19000144437 |
| FEI/EIN Number | 84-2035228 |
| Mail Address: | 6414 NIKKI LN, TAMPA, FL 33625 |
| Address: | 5800 49th St North, 207S, St Petersburg, FL 33709-2100 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427601491 | 2019-07-18 | 2019-12-21 | 6414 NIKKI LN, TAMPA, FL, 336251645, US | 1012 DRUID RD E STE B, CLEARWATER, FL, 337565606, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 813-918-0611 |
| Fax | 8132008449 |
| Phone | +1 813-434-7651 |
Authorized person
| Name | MS. JOCELYN LOBRIN BARLAAN |
| Role | NP MANAGER |
| Phone | 8134347651 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARLAAN, ARTHUR | Agent | 20505 Calla Lily Dr, Land O Lakes, FL 34638 |
| Name | Role |
|---|---|
| JOCELYN L BARLAAN, APRN PLLC | Manager |
| Name | Role | Address |
|---|---|---|
| CORDOVI, JULIO | Authorized Member | 6414 NIKKI LN, TAMPA, FL 33625 |
| Name | Role | Address |
|---|---|---|
| GONGORA, GELYS | Member | 12807 HORSESHOE RD, TAMPA, FL 33626 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000017193 | DOCTORX CARECONNECT | ACTIVE | 2020-02-06 | 2025-12-31 | No data | 6414 NIKKI LN, TAMPA, FL, 33625-1645 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-29 | BARLAAN, ARTHUR | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 20505 Calla Lily Dr, Land O Lakes, FL 34638 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-27 | 5800 49th St North, 207S, St Petersburg, FL 33709-2100 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-23 |
| Florida Limited Liability | 2019-05-30 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
