| Entity Name: | FLORIDA CHEST CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Feb 2021 (4 years ago) |
| Document Number: | L21000087843 |
| FEI/EIN Number | 86-2186910 |
| Address: | 9003 BAYWOOD PARK DR, SEMINOLE, FL 33777 |
| Mail Address: | 9003 BAYWOOD PARK DR, SEMINOLE, FL 33777 |
| ZIP code: | 33777 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528643293 | 2021-03-15 | 2021-03-15 | 9003 BAYWOOD PARK DR, SEMINOLE, FL, 337774630, US | 9003 BAYWOOD PARK DR, SEMINOLE, FL, 337774630, US | |||||||||||||||||||||
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| Phone | +1 727-953-2596 |
| Fax | 7273472402 |
Authorized person
| Name | RANA KANAAN |
| Role | OWNER |
| Phone | 7273475242 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | ME130352 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HAKIM, ARMIN | Agent | 9003 BAYWOOD PARK DR, SEMINOLE, FL 33777 |
| Name | Role | Address |
|---|---|---|
| HAKIM, ARMIN | Authorized Member | 9003 BAYWOOD PARK DR, SEMINOLE, FL 33777 UN |
| KANAAN, RANA, MD | Authorized Member | 9003 BAYWOOD PARK DR, SEMINOLE, FL 33777 UN |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000067649 | FLORIDA CHEST CARE | ACTIVE | 2021-05-18 | 2026-12-31 | No data | 9003 BAYWOOD PARK DR, SEMINOLE, FL, 33777 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-25 |
| Florida Limited Liability | 2021-02-22 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
