| Entity Name: | CLAR AND GRACE MEDICAL CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Feb 2021 (4 years ago) |
| Document Number: | L21000064894 |
| FEI/EIN Number | 86-2139531 |
| Address: | 5739 Gall Blvd, ZEPHYRHILLS, FL, 33542, US |
| Mail Address: | 38439 5TH AVE PMB #174, ZEPHYRHILLS, FL, 33542 |
| ZIP code: | 33542 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871174334 | 2021-04-16 | 2021-04-16 | 38439 5TH AVE, PMB 174, ZEPHYRHILLS, FL, 335424328, US | 38439 5TH AVE, PMB 174, ZEPHYRHILLS, FL, 335424328, US | |||||||||||||
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| Phone | +1 813-456-2713 |
Authorized person
| Name | BEVERLY BROOME |
| Role | OWNERE |
| Phone | 8135462713 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROOME BEVERLY C | Agent | 5739 Gall blvd, ZEPHYRHILLS, FL, 33542 |
| Name | Role | Address |
|---|---|---|
| BROOME BEVERLY C | Manager | 38439 5TH AVE PMB 174, ZEPHYRHILLS, FL, 33542 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2025-05-01 | 5739 Gall Blvd, ZEPHYRHILLS, FL 33542 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-01 | 5739 Gall Blvd, ZEPHYRHILLS, FL 33542 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-19 | 5739 Gall Blvd, ZEPHYRHILLS, FL 33542 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-19 | 5739 Gall blvd, ZEPHYRHILLS, FL 33542 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-02-26 |
| ANNUAL REPORT | 2022-03-19 |
| Florida Limited Liability | 2021-02-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
