| Entity Name: | PRECISE FAMILY HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 May 2020 (5 years ago) |
| Document Number: | L20000145473 |
| FEI/EIN Number | 85-1203136 |
| Address: | 13907 Dale Mabry Highway, Suite 216, TAMPA, FL, 33618, US |
| Mail Address: | 13907 Dale Mabry Highway, Suite 216, TAMPA, FL, 33618, US |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871179440 | 2021-03-23 | 2024-05-29 | 13907 N DALE MABRY HWY STE 216, TAMPA, FL, 336182411, US | 13907 N DALE MABRY HWY STE 216, TAMPA, FL, 336182411, US | |||||||||||||||||||
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| Phone | +1 813-280-9000 |
Authorized person
| Name | JUDENE PATRICE HARRISON |
| Role | FAMILY NURSE PRACTITIONER |
| Phone | 8132809000 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1932600699 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HARRISON JUDENE | Agent | 13907 North Dale Mabry Highway, TAMPA, FL, 33618 |
| Name | Role | Address |
|---|---|---|
| HARRISON JUDENE | Manager | 13907 North Dale Mabry, TAMPA, FL, 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-12 | 13907 North Dale Mabry Highway, 216, TAMPA, FL 33618 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-09 | 13907 Dale Mabry Highway, Suite 216, TAMPA, FL 33618 | No data |
| CHANGE OF MAILING ADDRESS | 2022-09-09 | 13907 Dale Mabry Highway, Suite 216, TAMPA, FL 33618 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-01-19 |
| Florida Limited Liability | 2020-05-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
