| Entity Name: | ANDI'S INTEGRATED HEALTH CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Aug 2019 (6 years ago) |
| Document Number: | L19000210203 |
| FEI/EIN Number | 84-2859559 |
| Address: | 5345 SE FRONT AVE., STUART, FL 34997 |
| Mail Address: | 5345 SE FRONT AVE., STUART, FL 34997 |
| ZIP code: | 34997 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619511755 | 2019-11-01 | 2022-07-18 | 5345 SE FRONT AVE, STUART, FL, 349978406, US | 1801 SE HILLMOOR DR STE C103C104, PORT SAINT LUCIE, FL, 349527553, US | |||||||||||||||||||||
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| Phone | +1 561-386-2612 |
| Phone | +1 772-742-2111 |
| Fax | 7722105087 |
Authorized person
| Name | ANDREA J BRINER-JOHNSON |
| Role | OWNER/MEMBER |
| Phone | 5613392534 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| KEITH W. MEISEL, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| JOHNSON, RONALD | Authorized Member | 5345 SE FRONT AVE., STUART, FL 34997 |
| BRINER-JOHNSON, ANDREA | Authorized Member | 5345 SE FRONT AVENUE, STUART, FL 34997 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2019-12-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-20 |
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-30 |
| DEBIT MEMO# 042197-C | 2020-04-06 |
| ANNUAL REPORT | 2020-01-02 |
| LC Amendment | 2019-12-23 |
| Florida Limited Liability | 2019-08-16 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
