| Entity Name: | NOVARI CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Jun 2019 (6 years ago) |
| Document Number: | L19000155084 |
| FEI/EIN Number | 84-1802645 |
| Address: | 1306 E SILVER SPRINGS BLVD, OCALA, FL, 34470, US |
| Mail Address: | 1306 E SILVER SPRINGS BLVD, UNIT 103, OCALA, FL, 34470, US |
| ZIP code: | 34470 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508419961 | 2019-07-24 | 2024-08-21 | PO BOX 344, SPARR, FL, 321920344, US | 1306 E SILVER SPRINGS BLVD # 103, OCALA, FL, 344706800, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 352-403-1330 |
Authorized person
| Name | JOHN DISTEFANO |
| Role | BUSINESS MANAGER |
| Phone | 5231732143 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100810000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BLUNT ANELSA B | Agent | 1306 E SILVER SPRINGS BLVD, OCALA, FL, 34470 |
| Name | Role | Address |
|---|---|---|
| BLUNT ANELSA B | Manager | 1306 E SILVER SPRINGS BLVD, OCALA, FL, 34470 |
| Name | Role | Address |
|---|---|---|
| BLUNT NYKEIA MAdminis | Auth | 1306 E SILVER SPRINGS BLVD, OCALA, FL, 34470 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000080074 | NOVARI CARE WELLNESS AND DIAGNOSTIC SERVICES | ACTIVE | 2024-07-02 | 2029-12-31 | No data | 1306 E SILVER SPRINGS BLVD, UNIT 103, OCALA, FL, 34470 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-09-13 | 1306 E SILVER SPRINGS BLVD, UNIT 103, OCALA, FL 34470 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-09-13 | 1306 E SILVER SPRINGS BLVD, UNIT 103, OCALA, FL 34470 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-29 | 1306 E SILVER SPRINGS BLVD, UNIT 103, OCALA, FL 34470 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| AMENDED ANNUAL REPORT | 2023-09-13 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-17 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-10 |
| Florida Limited Liability | 2019-06-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
