| Entity Name: | TOTAL HEALTH CARE CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Jun 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 15 Dec 2020 (4 years ago) |
| Document Number: | L20000167138 |
| FEI/EIN Number | 85-1582360 |
| Address: | 10794 PINES BLVD #206, PEMBROKE PINES, FL 33026 |
| Mail Address: | 10794 PINES BLVD #206, PEMBROKE PINES, FL 33026 |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376161455 | 2020-07-06 | 2021-07-02 | 4161 NW 5TH ST STE 201, PLANTATION, FL, 333172101, US | 4161 NW 5TH ST STE 201, PLANTATION, FL, 333172101, US | |||||||||||||||||
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| Phone | +1 954-907-6719 |
| Phone | +1 954-300-2404 |
| Fax | 9543002404 |
Authorized person
| Name | GERALDINE HAWKINS |
| Role | APRN |
| Phone | 9549076719 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAWKINS, GERALDINE | Agent | 1531 SW 190TH AVE, PEMBROKE PINES, FL 33029 |
| Name | Role | Address |
|---|---|---|
| SCOTT, LATOYA D | Manager | 640 NORTH 69 AVENUE, HOLLYWOOD, FL 33024 |
| HAWKINS, GERALDINE | Manager | 1531 SW 190TH AVE, PEMBROKE PINES, FL 33029 |
| LEACOCK, CARA MIA | Manager | 9872 N. GRAND DUKE CIRCLE, TAMARAC, FL 33321 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-09 | 10794 PINES BLVD #206, PEMBROKE PINES, FL 33026 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-09 | 10794 PINES BLVD #206, PEMBROKE PINES, FL 33026 | No data |
| LC AMENDMENT | 2020-12-15 | No data | No data |
| LC AMENDMENT | 2020-08-03 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-04-08 |
| LC Amendment | 2020-12-15 |
| LC Amendment | 2020-08-03 |
| Florida Limited Liability | 2020-06-16 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
