| Entity Name: | POST ACUTE CARE LEADERS - FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Jul 2019 (6 years ago) |
| Document Number: | L19000182122 |
| FEI/EIN Number | 84-2534086 |
| Address: | 925 NORTH POINT PARKWAY, SUITE 425, ALPHARETTA, GA, 30005 |
| Mail Address: | 925 NORTH POINT PARKWAY, SUITE 425, ALPHARETTA, GA, 30005 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578119194 | 2019-08-12 | 2022-06-01 | 925 N POINT PKWY STE 425, ALPHARETTA, GA, 300055200, US | 1755 37TH ST, VERO BEACH, FL, 329604812, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 678-593-3332 |
| Fax | 6788681584 |
Authorized person
| Name | TYLER JUSTISS |
| Role | CONTROLLER |
| Phone | 6785933332 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Wideberg Bruce | Agent | 1400 Quail Dr, Sarasota, FL, 34231 |
| Name | Role | Address |
|---|---|---|
| BAILEY ROBERT D | Manager | 925 NORTH POINT PARKWAY SUITE 425, ALPHARETTA, GA, 30005 |
| JUSTISS TED W | Manager | 925 NORTH POINT PARKWAY SUITE 425, ALPHARETTA, GA, 30005 |
| WIDEBERG BRUCE | Manager | 925 NORTH POINT PARKWAY SUITE 425, ALPHARETTA, GA, 30005 |
| HARRINGTON ROBERT W | Manager | 925 NORTH POINT PARKWAY SUITE 425, ALPHARETTA, GA, 30005 |
| ROBINSON BOYKIN MD | Manager | 925 NORTH POINT PARKWAY SUITE 425, ALPHARETTA, GA, 30005 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-04-28 | Wideberg, Bruce | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-28 | 1400 Quail Dr, Sarasota, FL 34231 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-07-20 |
| Florida Limited Liability | 2019-07-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
