| Entity Name: | VAL-DAS PREVENTIVE CARE CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Sep 2020 (4 years ago) |
| Document Number: | L20000301495 |
| FEI/EIN Number | 85-3318676 |
| Address: | 3800 Inverrary Blvd, Lauderhill, FL, 33319, US |
| Mail Address: | 5060 NW 82ND TER, CORAL SPRINGS, FL, 33067 |
| ZIP code: | 33319 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366032245 | 2021-01-25 | 2021-01-25 | 6835 SUNSET STRIP, SUNRISE, FL, 333132864, US | 6835 SUNSET STRIP, SUNRISE, FL, 333132864, US | |||||||||||||||||||
|
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| Phone | +1 954-514-7422 |
Authorized person
| Name | GUERDA J VALERE |
| Role | PRESIDENT |
| Phone | 9545147422 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CERTIFICATE OF EXEMPTION HEALTH CARE CLINIC LICENSURE - AHCA |
| Number | HCC15083 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VALERE GUERDA J | Agent | 5060 NW 82ND TER, CORAL SPRINGS, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| VALERE GUERDA J | President | 5060 NW 82ND TER, CORAL SPRINGS, FL, 33067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-12 | 3800 Inverrary Blvd, 207, Lauderhill, FL 33319 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-30 |
| Florida Limited Liability | 2020-09-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
