| Entity Name: | GAIA HOLISTIC PRIMARY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 May 2020 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Apr 2024 (10 months ago) |
| Document Number: | L20000133468 |
| FEI/EIN Number | 851143958 |
| Address: | 430 STATE ROAD 436, 224, CASSELBERRY, FL, 32707, US |
| Mail Address: | 430 STATE ROAD 436, 224, CASSELBERRY, FL, 32707, US |
| ZIP code: | 32707 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346863107 | 2020-05-27 | 2020-08-04 | 430 STATE ROAD 436 STE 224, CASSELBERRY, FL, 327074965, US | 430 STATE ROAD 436 STE 224, CASSELBERRY, FL, 327074965, US | |||||||||||||
|
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| Phone | +1 786-449-5448 |
Authorized person
| Name | AMABEL LUBATON |
| Role | OWNER |
| Phone | 7864495448 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Lubaton Amabel F | Agent | 430 state Road 436, Casselberry, FL, 32707 |
| Name | Role | Address |
|---|---|---|
| LUBATON AMABEL T | Manager | 5499 La Costa Drive, ORLANDO, FL, 32807 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-04-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-02 | Lubaton, Amabel F | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-02 | 430 state Road 436, Ste. 224, Casselberry, FL 32707 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-04-02 |
| ANNUAL REPORT | 2022-05-04 |
| ANNUAL REPORT | 2021-04-08 |
| Florida Limited Liability | 2020-05-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
