| Entity Name: | FLORIDA SOCIAL HEALTH SOLUTIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Aug 2020 (4 years ago) |
| Document Number: | L20000254519 |
| FEI/EIN Number | 85-2831731 |
| Address: | 6408 N Armenia ave, tampa, FL, 33604, US |
| Mail Address: | 18950 sw 16 st, pembroke pines, FL, 33029, US |
| ZIP code: | 33604 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437821576 | 2021-09-28 | 2024-04-10 | 6408 N ARMENIA AVE STE E-1, TAMPA, FL, 336045770, US | 6408 N ARMENIA AVE STE E-1, TAMPA, FL, 336045770, US | |||||||||||||||||||||
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| Phone | +1 754-234-4331 |
| Fax | 7866875207 |
Authorized person
| Name | LAZARO MOLINA RODRIGUEZ |
| Role | OWNER |
| Phone | 7542344331 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 108436200 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLORIDA SOCIAL HEALTH SOLUTIONS LLC 401(K) PLAN | 2023 | 852831731 | 2024-09-04 | FLORIDA SOCIAL HEALTH SOLUTIONS | 5 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-04 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MOLINA RODRIGUEZ LAZARO | Agent | 18950 sw 16 st, pembroke pines, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| MOLINA RODRIGUEZ LAZARO | Manager | 18950 sw 16 st, pembroke pines, FL, 33029 |
| IRARRAGORRI GONZALEZLEONARDO | Manager | 1920 NW 180 WAY, PEMBROKE PINES, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-01 | 6408 N Armenia ave, E 1, tampa, FL 33604 | No data |
| CHANGE OF MAILING ADDRESS | 2023-05-01 | 6408 N Armenia ave, E 1, tampa, FL 33604 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-27 | 18950 sw 16 st, pembroke pines, FL 33029 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| AMENDED ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2023-01-25 |
| AMENDED ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-24 |
| Florida Limited Liability | 2020-08-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
