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CCA HEALTH LLC

Company Details

Entity Name: CCA HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Jul 2020 (5 years ago)
Document Number: L20000187942
FEI/EIN Number 85-1733223
Mail Address: 7957 N UNIVERSITY DR, PARKLAND, FL, 33067, US
Address: 7957 N UNIVERSITY DR, SUITE 137, Parkland, FL, 33067, US
ZIP code: 33067
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336757681 2020-07-22 2020-07-22 401 E LAS OLAS BLVD # 130-663, FT LAUDERDALE, FL, 333012210, US 2801 N STATE ROAD 7, MARGATE, FL, 330635727, US

Contacts

Phone +1 954-727-4711
Fax 9547274712

Authorized person

Name DR. AMANDA KOWALSKI
Role AP
Phone 3145505747

Taxonomy

Taxonomy Code 282N00000X - General Acute Care Hospital
Is Primary Yes

Agent

Name Role Address
KOWALSKI AMANDA Agent 7957 N University Dr, Parkland, FL, 33067

Authorized Person

Name Role Address
KOWALSKI AMANDA Authorized Person 7957 N University Dr Ste 137, Parkland, FL, 33067

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-03-13 7957 N UNIVERSITY DR, SUITE 137, Parkland, FL 33067 No data
REGISTERED AGENT ADDRESS CHANGED 2022-03-13 7957 N University Dr, SUITE 137, Parkland, FL 33067 No data
CHANGE OF MAILING ADDRESS 2021-08-13 7957 N UNIVERSITY DR, SUITE 137, Parkland, FL 33067 No data

Documents

Name Date
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-03-13
ANNUAL REPORT 2021-02-19
Florida Limited Liability 2020-07-02

Date of last update: 01 Feb 2025

Sources: Florida Department of State