| Entity Name: | ARVIV HEALTH PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Jul 2020 (5 years ago) |
| Document Number: | L20000207652 |
| FEI/EIN Number | 85-2032467 |
| Address: | 11329 COUNTRYWAY BLVD, TAMPA, FL 33626 |
| Mail Address: | 11329 COUNTRYWAY BLVD, TAMPA, FL 33626 |
| ZIP code: | 33626 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720698103 | 2020-07-31 | 2020-07-31 | 11327 COUNTRYWAY BLVD, TAMPA, FL, 336262610, US | 11327 COUNTRYWAY BLVD, TAMPA, FL, 336262610, US | |||||||||||||
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| Phone | +1 813-855-0111 |
Authorized person
| Name | BRIAN CLUKIE |
| Role | ADMINISTRATOR |
| Phone | 8139972099 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ELLIS, JONATHAN | Agent | 101 E. KENNEDY BOULEVARD, SUITE 2800, TAMPA, FL 33602 |
| Name | Role | Address |
|---|---|---|
| ARVIV, TALI | Manager | 11329 COUNTRYWAY BLVD, TAMPA, FL 33626 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-09 |
| Florida Limited Liability | 2020-07-17 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
