| Entity Name: | ACCOUNTABLESELF, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Oct 2019 (5 years ago) |
| Document Number: | L19000257798 |
| FEI/EIN Number | 84-4294111 |
| Address: | 13750 W COLONIAL DR, Ste 350-111, WINTER GARDEN, FL, 34787, US |
| Mail Address: | 13750 W COLONIAL DR, Ste 350-111, WINTER GARDEN, FL, 34787, US |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679251011 | 2023-07-06 | 2023-07-06 | 14146 JOMATT LOOP, WINTER GARDEN, FL, 347870116, US | 13750 W COLONIAL DR STE 350-111, WINTER GARDEN, FL, 347874204, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 407-757-4459 |
Authorized person
| Name | MRS. TONI SAMUEL |
| Role | DIRECTOR |
| Phone | 4077574459 |
Taxonomy
| Taxonomy Code | 163W00000X - Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 305S00000X - Point of Service |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAMUEL TONI E | Agent | 13750 W COLONIAL DR, WINTER GARDEN, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| SAMUEL TONI E | Manager | 14146 JOMATT LOOP, WINTER GARDEN, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| SAMUEL DION RSR | Authorized Person | 14146 JOMATT LOOP, WINTER GARDEN, FL, 34787 |
| MCFARLANE CHUVALA | Authorized Person | 1168 COASTAL CIRCLE, OCOEE, FL, 34761 |
| GAUZE TAMMI | Authorized Person | 4086 FERROW ST, ORLANDO, FL, 32811 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-15 | 13750 W COLONIAL DR, Ste 350-111, WINTER GARDEN, FL 34787 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-15 | 13750 W COLONIAL DR, Ste 350-111, WINTER GARDEN, FL 34787 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-15 | 13750 W COLONIAL DR, Ste 350-111, WINTER GARDEN, FL 34787 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-10 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-15 |
| Florida Limited Liability | 2019-10-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
