| Entity Name: | ANGEL EYES PRIMARY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Apr 2020 (5 years ago) |
| Date of dissolution: | 11 Apr 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 11 Apr 2023 (2 years ago) |
| Document Number: | L20000103460 |
| FEI/EIN Number | 850716232 |
| Address: | 519 Bartow Rd, Lakeland, FL, 33801, US |
| Mail Address: | 304 E Pine St., Lakeland, FL, 33801, US |
| ZIP code: | 33801 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588283022 | 2020-04-14 | 2020-04-14 | PO BOX 971, KATHLEEN, FL, 338490971, US | 1500 LAKELAND HILLS BLVD STE 2, LAKELAND, FL, 338053257, US | |||||||||||||
|
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| Phone | +1 863-944-6977 |
Authorized person
| Name | DR. ALICIA CLAIRCIUS |
| Role | CEO |
| Phone | 8639446977 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CLAIRCIUS ALICIA | Agent | 304 E. Pine Street, Lakeland, FL, 33801 |
| Name | Role | Address |
|---|---|---|
| Claircius Alicia | Manager | 304 E. Pine Street, Lakeland, FL, 33801 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-11 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-30 | 519 Bartow Rd, #1, Lakeland, FL 33801 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-30 | 519 Bartow Rd, #1, Lakeland, FL 33801 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-30 | 304 E. Pine Street, suite 177, Lakeland, FL 33801 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-11 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-03-03 |
| Florida Limited Liability | 2020-04-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
