| Entity Name: | ALPHA DNA HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Oct 2020 (4 years ago) |
| Document Number: | L20000344849 |
| FEI/EIN Number | 85-3879486 |
| Address: | 7750 NOVA DR, A4, DAVIE, FL, 33324, US |
| Mail Address: | 7750 NOVA DR, A4, DAVIE, FL, 33324, US |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245802396 | 2021-07-16 | 2022-01-12 | 7750 NOVA DR STE A4, DAVIE, FL, 333245801, US | 7750 NOVA DR STE A4, DAVIE, FL, 333245801, US | |||||||||||||
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| Phone | +1 954-944-1143 |
Authorized person
| Name | MR. WILLIAM MAZZEI III |
| Role | MD |
| Phone | 5614790774 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ILIAS TASSIOPOULOS MGR | Agent | 10821 NW 29TH CT, SUNRISE, FL, 33322 |
| Name | Role | Address |
|---|---|---|
| HABET NASHLA | Manager | 10821 NW 29TH CT, SUNRISE, FL, 33322 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000090013 | MD HEALTHCARE DAVIE | ACTIVE | 2021-07-08 | 2026-12-31 | No data | 304 INDIAN TRACE, SUITE 636, WESTON, FL, 33326 |
| G21000078743 | MD HEALTHCARE NETWORK OF DAVIE | ACTIVE | 2021-06-11 | 2026-12-31 | No data | 10821 NW 29TH CT, SUNRISE, FL, 33322 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-04-14 | ILIAS, TASSIOPOULOS, MGR | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-14 | 10821 NW 29TH CT, SUNRISE, FL 33322 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-31 |
| ANNUAL REPORT | 2023-05-24 |
| AMENDED ANNUAL REPORT | 2022-09-14 |
| ANNUAL REPORT | 2022-01-06 |
| AMENDED ANNUAL REPORT | 2021-09-28 |
| AMENDED ANNUAL REPORT | 2021-06-11 |
| ANNUAL REPORT | 2021-04-14 |
| Florida Limited Liability | 2020-10-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
