| Entity Name: | CHIEFLAND HEALTH CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Dec 2019 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Dec 2022 (2 years ago) |
| Document Number: | L20000002952 |
| FEI/EIN Number | 844051165 |
| Address: | 304 N MAIN ST, CHIEFLAND, FL, 32626, US |
| Mail Address: | 304 N MAIN ST, CHIEFLAND, FL, 32626, US |
| ZIP code: | 32626 |
| County: | Levy |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114549284 | 2020-05-12 | 2022-04-19 | 304 N MAIN ST, CHIEFLAND, FL, 326260803, US | 304 N MAIN ST, CHIEFLAND, FL, 326260803, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 352-545-4644 |
| Phone | +1 352-507-2000 |
Authorized person
| Name | ASHWIN KOLAVENTY |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 3524142270 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| KOLAVENTY ASHWIN | Agent | 6600 SW HWY 200, OCALA, FL, 34476 |
| Name | Role | Address |
|---|---|---|
| KOLAVENTY ASHWIN | Authorized Member | 6600 SW HWY 200 SUITE 300, OCALA, FL, 34476 |
| Name | Role | Address |
|---|---|---|
| Kolaventy Rajarshi | Manager | 6600 SW HWY 200, OCALA, FL, 34476 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-12-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-12-02 | KOLAVENTY, ASHWIN | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-30 | 304 N MAIN ST, CHIEFLAND, FL 32626 | No data |
| CHANGE OF MAILING ADDRESS | 2021-09-30 | 304 N MAIN ST, CHIEFLAND, FL 32626 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| REINSTATEMENT | 2022-12-02 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-04-14 |
| Florida Limited Liability | 2019-12-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
