| Entity Name: | BAC HOUSE CALLS ADULT & FAMILY HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Nov 2020 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Dec 2022 (2 years ago) |
| Document Number: | L20000374302 |
| FEI/EIN Number | 85-3869012 |
| Address: | 1317 EDGEWATER DR, #3367, ORLANDO, FL 32804 |
| Mail Address: | 1317 EDGEWATER DR, #3367, ORLANDO, FL 32804 |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245827328 | 2020-12-23 | 2023-09-26 | 2501 MARSHFIELD PRESERVE WAY, KISSIMMEE, FL, 347462272, US | 1317 EDGEWATER DR # 3367, ORLANDO, FL, 328046350, US | |||||||||||||
|
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| Phone | +1 407-863-6389 |
Authorized person
| Name | BIRGET ANN CORDIS |
| Role | OWNER |
| Phone | 4078636389 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORDIS, BIRGET | Agent | 1317 EDGEWATER DR, #3367, ORLANDO, FL 32804 |
| Name | Role | Address |
|---|---|---|
| Cordis , Birget | Manager | 2501 Marshfield Preserve Way, Kissimmee, FL 34746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-12-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-12-14 | CORDIS, BIRGET | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2021-12-28 | BAC HOUSE CALLS ADULT & FAMILY HEALTH LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-12-28 | 1317 EDGEWATER DR, #3367, ORLANDO, FL 32804 | No data |
| CHANGE OF MAILING ADDRESS | 2021-12-28 | 1317 EDGEWATER DR, #3367, ORLANDO, FL 32804 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-04-07 |
| REINSTATEMENT | 2022-12-14 |
| LC Amendment and Name Change | 2021-12-28 |
| ANNUAL REPORT | 2021-04-30 |
| Florida Limited Liability | 2020-11-30 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
