| Entity Name: | R3 INTEGRATED HEALTH PLUS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Sep 2020 (4 years ago) |
| Document Number: | L20000282135 |
| FEI/EIN Number | 85-3057019 |
| Address: | 29750 US 19, #301, CLEARWATER, FL 33761 |
| Mail Address: | 29750 US 19, #301, CLEARWATER, FL 33761 |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215525134 | 2021-01-06 | 2022-04-06 | 949 BROADWAY, DUNEDIN, FL, 346985717, US | 949 BROADWAY, DUNEDIN, FL, 346985717, US | |||||||||||||
|
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| Phone | +1 813-417-1165 |
Authorized person
| Name | DAMON STAFFORD |
| Role | SOLE MBR |
| Phone | 8134171165 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STAFFORD, DAMON J | Agent | 3321 MAPLERIDGE DRIVE, LUTZ,, FL 33558 |
| Name | Role | Address |
|---|---|---|
| STAFFORD, DAMON | Chief Executive Officer | 3321, LUTZ, FL 33558 UN |
| Name | Role | Address |
|---|---|---|
| Peralta, Jose | Chief Marketing Officer | 29750 US 19 #301, Clearwater, FL 33761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-02 | 29750 US 19, #301, CLEARWATER, FL 33761 | No data |
| CHANGE OF MAILING ADDRESS | 2021-08-02 | 29750 US 19, #301, CLEARWATER, FL 33761 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-04-23 |
| Florida Limited Liability | 2020-09-09 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
