| Entity Name: | PHYSICIANS CARE OF KEYSTONE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Oct 2019 (5 years ago) |
| Document Number: | L19000270697 |
| FEI/EIN Number | 65-0882003 |
| Address: | 6542 TRIEST AVE, KEYSTONE HEIGHTS, FL, 32656 |
| Mail Address: | 6542 TRIEST AVE, KEYSTONE HEIGHTS, FL, 32656 |
| ZIP code: | 32656 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154512432 | 2007-08-05 | 2007-08-05 | 6542 TRIEST AVE, KEYSTONE HEIGHTS, FL, 326569393, US | 6542 TRIEST AVE, KEYSTONE HEIGHTS, FL, 326569393, US | |||||||||||||||||||
|
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| Phone | +1 352-473-7288 |
| Fax | 3524739365 |
Authorized person
| Name | DR. GEORGE L RESTEA |
| Role | PRESIDENT |
| Phone | 3524737288 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0049847 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RESTEA GEORGE LMD | Agent | 6542 TRIEST AVE, KEYSTONE HEIGHTS, FL, 32656 |
| Name | Role | Address |
|---|---|---|
| Restea Linda C | Auth | 1609 NW 103rd Terrace, Gainesville, FL, 32606 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-03-16 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-04-11 |
| Florida Limited Liability | 2019-10-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
