| Entity Name: | OLIVE HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Feb 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 09 Nov 2021 (3 years ago) |
| Document Number: | L21000060978 |
| FEI/EIN Number | 862086380 |
| Address: | 4912 West Trapnell road, plant city, fl, 33566, UN |
| Mail Address: | 4912 West Trapnell road, plant city, fl, 33566, UN |
| ZIP code: | 33566 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124612817 | 2021-02-24 | 2023-08-30 | 4912 W TRAPNELL RD, PLANT CITY, FL, 335660128, US | 4912 W TRAPNELL RD, PLANT CITY, FL, 335660128, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 813-417-4767 |
Authorized person
| Name | MS. YVETTE GUZMAN |
| Role | OWNER |
| Phone | 8133899474 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUZMAN YVETTE | Agent | 4912 west trapnell road, plant city, FL, 33566 |
| Name | Role | Address |
|---|---|---|
| GUZMAN YVETTE | Authorized Member | 4912 West Trapnell road, plant city, fl, 33566 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-13 | 4912 West Trapnell road, plant city, florida 33566 UN | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-13 | 4912 West Trapnell road, plant city, florida 33566 UN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-13 | 4912 west trapnell road, plant city, FL 33566 | No data |
| LC AMENDMENT | 2021-11-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-11-09 | GUZMAN, YVETTE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-10 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-03-13 |
| LC Amendment | 2021-11-09 |
| Florida Limited Liability | 2021-02-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
