| Entity Name: | SUNCOAST INTEGRATIVE HEALTHCARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Sep 2019 (5 years ago) |
| Document Number: | L19000232425 |
| FEI/EIN Number | 84-3158256 |
| Address: | 6514 CENTRAL AVENUE, ST. PETERSBURG, FL 33707 |
| Mail Address: | 6514 CENTRAL AVENUE, ST. PETERSBURG, FL 33707 |
| ZIP code: | 33707 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619528932 | 2019-09-27 | 2020-03-18 | 6514 CENTRAL AVE, SAINT PETERSBURG, FL, 337071330, US | 6514 CENTRAL AVE, SAINT PETERSBURG, FL, 337071330, US | |||||||||||||
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| Phone | +1 727-519-3757 |
Authorized person
| Name | COLBY STAUBS |
| Role | PRESIDENT |
| Phone | 7275193757 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUNCOAST INTEGRATIVE HEALTHCARE LLC | 2023 | 843158256 | 2024-07-25 | SUNCOAST INTEGRATIVE HEALTHCARE | 8 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-25 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| STAUBS, COLBY | Agent | 6514 CENTRAL AVENUE, ST. PETERSBURG, FL 33707 |
| Name | Role | Address |
|---|---|---|
| Colby Staubs | owner | 6514 CENTRAL AVENUE, ST. PETERSBURG, FL 33707 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-03-29 |
| AMENDED ANNUAL REPORT | 2020-11-19 |
| ANNUAL REPORT | 2020-03-03 |
| Florida Limited Liability | 2019-09-23 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
