| Entity Name: | ANCURAM LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Dec 2019 (5 years ago) |
| Document Number: | L19000293558 |
| FEI/EIN Number | 82-2226478 |
| Address: | 2838 SW 30TH ST, CAPE CORAL, FL, 33914, US |
| Mail Address: | 2838 SW 30TH ST, CAPE CORAL, FL, 33914, US |
| ZIP code: | 33914 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043775232 | 2019-02-01 | 2020-04-22 | 2838 SW 30TH ST, CAPE CORAL, FL, 339142000, US | 10700 STRINGFELLOW RD STE 50, BOKEELIA, FL, 339223232, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 833-742-6276 |
| Fax | 8338959833 |
Authorized person
| Name | DR. DANIEL LEE WILBURN HANLEY |
| Role | MEMBER |
| Phone | 8337426276 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HANLEY DANIEL | Agent | 2838 SW 30TH ST, CAPE CORAL, FL, 33914 |
| Name | Role | Address |
|---|---|---|
| HANLEY DANIEL | Manager | 2838 SW 30TH ST, CAPE CORAL, FL, 33914 |
| KUKURUZA-HANLEY NADIA | Manager | 2838 SW 30TH ST, CAPE CORAL, FL, 33914 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-07-27 |
| ANNUAL REPORT | 2020-05-22 |
| Florida Limited Liability | 2019-12-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
