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PURE HEALTHCARE OF FLORIDA LLC

Company Details

Entity Name: PURE HEALTHCARE OF FLORIDA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Jan 2021 (4 years ago)
Document Number: L21000020787
FEI/EIN Number 86-1755985
Address: 7901 4th St N, STE 300, St. Petersburg, FL, 33702, US
Mail Address: 4179 S Riverboat Road, Suite 220, Taylorsville, UT, 84123, US
ZIP code: 33702
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093308397 2021-02-17 2024-09-13 4179 S RIVERBOAT RD STE 220, TAYLORSVILLE, UT, 841232986, US 28420 BONITA CROSSINGS BLVD UNIT 100, BONITA SPRINGS, FL, 341353203, US

Contacts

Phone +1 855-550-3358
Phone +1 239-235-0385

Authorized person

Name RACHEL FRAGA
Role CONTRACTING MANAGER
Phone 8019216325

Taxonomy

Taxonomy Code 261QI0500X - Infusion Therapy Clinic/Center
Is Primary No
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role
NORTHWEST REGISTERED AGENT LLC Agent

Manager

Name Role Address
Suites, LLC Pure Infusion Manager 7901 4th St N STE 300, St. Petersburg, FL, 33702

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-05 7901 4th St N, STE 300, St. Petersburg, FL 33702 No data
CHANGE OF MAILING ADDRESS 2024-02-05 7901 4th St N, STE 300, St. Petersburg, FL 33702 No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-05 7901 4th St N, STE 300, St. Petersburg, FL 33702 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-03-04
Florida Limited Liability 2021-01-07

Date of last update: 02 Feb 2025

Sources: Florida Department of State