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AUTHENTIC HEALTHCARE LLC

Company Details

Entity Name: AUTHENTIC HEALTHCARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 17 Jul 2020 (5 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: L20000208893
Address: 15379 SPOTTED STALLION TRAIL, JACKSONVILLE, FL 32234
Mail Address: 15379 SPOTTED STALLION TRAIL, JACKSONVILLe, FL 32234
ZIP code: 32234
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942813233 2020-08-26 2021-07-21 8576 ARLINGTON EXPY, JACKSONVILLE, FL, 322118003, US 8576 ARLINGTON EXPY, JACKSONVILLE, FL, 322118003, US

Contacts

Phone +1 904-802-5267

Authorized person

Name JOHANNA I GATES
Role RN
Phone 9048025267

Taxonomy

Taxonomy Code 376J00000X - Homemaker
Is Primary Yes

Agent

Name Role Address
GATES, JOHANNA I Agent 15379 SPOTTED STALLION TRAIL, JACKSONVILLE, FL 32234

Manager

Name Role Address
GATES, JOHANNA I Manager 15379 SPOTTED STALLION TRAIL, JACKSONVILLE, FL 32234
GATES, KRIONNIE C Manager 15379 SPOTTED STALLION TRAIL, JACKSONVILLE, FL 32234
ANDREWS, JULIA Manager 7958 JAGUAR DRIVE, JACKSONVILLE, FL 32244

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000102064 AUTHENTIC HEALTHCARE OF JAX ACTIVE 2020-08-11 2025-12-31 No data 15379 SPOTTED STALLION TRAIL, JACKSONVILLE, FL, 32234

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data

Documents

Name Date
Florida Limited Liability 2020-07-17

Date of last update: 15 Jan 2025

Sources: Florida Department of State