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PINECREST TOTAL HEALTH LLC

Company Details

Entity Name: PINECREST TOTAL HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Jul 2020 (5 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 02 Sep 2021 (3 years ago)
Document Number: L20000226103
FEI/EIN Number 85-2436334
Address: 10420 SW 77TH AVE, SUITE 100, PINECREST, FL, 33156, US
Mail Address: 10420 SW 77TH AVE, SUITE 100, PINECREST, FL, 33156, US
ZIP code: 33156
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124696984 2021-06-16 2021-06-18 10420 SW 77TH AVE STE 100, PINECREST, FL, 331563771, US 10420 SW 77TH AVE STE 100, PINECREST, FL, 331563771, US

Contacts

Phone +1 305-877-4348
Fax 9544314246

Authorized person

Name MR. HUGO LARA
Role ADMINISTRADOR
Phone 3058774348

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
Lara Elda Agent 10420 SW 77TH AVE, PINECREST, FL, 33156

Manager

Name Role Address
Lara Elda P Manager 10420 SW 77TH AVE, PINECREST, FL, 33156

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-05-18 Lara, Elda No data
LC AMENDMENT 2021-09-02 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-04-13 10420 SW 77TH AVE, SUITE 100, PINECREST, FL 33156 No data
CHANGE OF MAILING ADDRESS 2021-04-13 10420 SW 77TH AVE, SUITE 100, PINECREST, FL 33156 No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-13 10420 SW 77TH AVE, SUITE 100, PINECREST, FL 33156 No data

Documents

Name Date
ANNUAL REPORT 2024-04-03
AMENDED ANNUAL REPORT 2023-05-18
ANNUAL REPORT 2023-04-07
AMENDED ANNUAL REPORT 2022-03-27
ANNUAL REPORT 2022-03-10
AMENDED ANNUAL REPORT 2021-09-14
LC Amendment 2021-09-02
ANNUAL REPORT 2021-04-13
Florida Limited Liability 2020-07-29

Date of last update: 01 Feb 2025

Sources: Florida Department of State