| Entity Name: | MINI HEALTH CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Oct 2019 (5 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 03 Apr 2020 (5 years ago) |
| Document Number: | L19000266922 |
| FEI/EIN Number | 84-3669647 |
| Address: | 4420 S US Highway 27 Ste 5, Clermont, FL, 34711, US |
| Mail Address: | 4420 South Highway 27, Suite 5, Clermont, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770179590 | 2020-12-16 | 2020-12-16 | 1028 GLENRAVEN LN, CLERMONT, FL, 347119008, US | 1150 ANDERSON ST, CLERMONT, FL, 347112507, US | |||||||||||||||||||||||||
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| Phone | +1 407-733-3923 |
| Phone | +1 352-227-3000 |
| Fax | 3525057738 |
Authorized person
| Name | MRS. KEMEISHA T MORGAN |
| Role | OWNER/PROVIDER |
| Phone | 3522273000 |
Taxonomy
| Taxonomy Code | 2083B0002X - Obesity Medicine (Preventive Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MORGAN KEMEISHA | Agent | 4420 S US Highway 27, Clermont, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| Morgan Kemeisha | Chief Executive Officer | 1150 Anderson Street, Clermont, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-14 | 4420 S US Highway 27 Ste 5, Clermont, FL 34711 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-14 | 4420 S US Highway 27, Suite 5, Clermont, FL 34711 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-31 | 4420 S US Highway 27 Ste 5, Clermont, FL 34711 | No data |
| LC AMENDMENT AND NAME CHANGE | 2020-04-03 | MINI HEALTH CLINIC LLC | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000208999 | TERMINATED | 1000000987561 | SUMTER | 2024-04-04 | 2044-04-10 | $ 2,342.72 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 900 N 14TH ST STE 201, LEESBURG FL347483829 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-04-11 |
| AMENDED ANNUAL REPORT | 2021-06-25 |
| ANNUAL REPORT | 2021-04-12 |
| LC Amendment and Name Change | 2020-04-03 |
| ANNUAL REPORT | 2020-03-18 |
| Florida Limited Liability | 2019-10-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
