| Entity Name: | SANCTUARY CLINIC OF YAHWEH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Dec 2019 (5 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 21 Sep 2020 (4 years ago) |
| Document Number: | L19000296984 |
| FEI/EIN Number | 84-4144325 |
| Address: | 15 SOUTH VERONA AVE, AVON PARK, FL, 33825, US |
| Mail Address: | 15 SOUTH VERONA AVE, AVON PARK, FL, 33825, US |
| ZIP code: | 33825 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821694282 | 2020-12-09 | 2020-12-09 | 15 S VERONA AVE, AVON PARK, FL, 338253913, US | 15 S VERONA AVE, AVON PARK, FL, 338253913, US | |||||||||||||
|
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| Phone | +1 863-453-3174 |
Authorized person
| Name | DR. BENITO EDOUARD |
| Role | PRESIDENT |
| Phone | 8632731097 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EDOUARD BENITO | Agent | 4601 BOSTON STREET, SEBRING, FL, 33872 |
| Name | Role | Address |
|---|---|---|
| PIERRE JORDANY | Manager | 5006 MACKEREL DRIVE, SEBRING, FL, 33870 |
| Name | Role | Address |
|---|---|---|
| Edouard Benito Dr. | President | 4601 Boston St, Sebring, FL, 33872 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2020-09-21 | SANCTUARY CLINIC OF YAHWEH, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-04-21 |
| LC Name Change | 2020-09-21 |
| ANNUAL REPORT | 2020-07-01 |
| Florida Limited Liability | 2019-12-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
