| Entity Name: | 360 MEDICAL CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Nov 2020 (4 years ago) |
| Document Number: | L20000356799 |
| FEI/EIN Number | 854005072 |
| Address: | 14107 CORTEZ BLVD, BROOKSVILLE, FL, 34613, US |
| Mail Address: | 14107 CORTEZ BLVD, BROOKSVILLE, FL, 34613, US |
| ZIP code: | 34613 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649861790 | 2021-02-01 | 2024-10-16 | 14107 CORTEZ BLVD, BROOKSVILLE, FL, 34613, US | 14107 CORTEZ BLVD, BROOKSVILLE, FL, 34613, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 352-549-9962 |
| Fax | 3525499963 |
Authorized person
| Name | GATUAM THAKKAR |
| Role | MANAGER |
| Phone | 3525499962 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 3336H0001X - Home Infusion Therapy Pharmacy |
| Is Primary | No |
| Name | Role |
|---|---|
| MASSEY LAW GROUP, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| thakkar Heena | Manager | 19107 HARBOR COVE COURT, LUTZ, FL, 33558 |
| Thakkar Gautam | Manager | 19107 Harbor cove ct, Lutz, FL, 33558 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000115544 | 360 INFUSION CENTER | ACTIVE | 2024-09-16 | 2029-12-31 | No data | 19107 HARBOR COVE CT, LUTZ, FL, 33558 |
| G21000019672 | 360 MEDICAL CARE | ACTIVE | 2021-02-09 | 2026-12-31 | No data | 14107 CORTEZ BLVD, BROOKSVILLE, FL, 34613 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-03-27 |
| AMENDED ANNUAL REPORT | 2022-08-30 |
| ANNUAL REPORT | 2022-04-18 |
| AMENDED ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2021-01-06 |
| Florida Limited Liability | 2020-11-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
