| Entity Name: | BEST CHOICE MEDI CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Mar 2021 (4 years ago) |
| Document Number: | L21000121174 |
| FEI/EIN Number | 86-2878526 |
| Address: | 1195 N. Military Trail, Suite 5B, West Palm Beach, FL 33409 |
| Mail Address: | 8305 Phoenician Ct, Davie, FL 33328 |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700466703 | 2021-04-13 | 2021-08-31 | 3003 S CONGRESS AVE STE 2E, PALM SPRINGS, FL, 334612169, US | 3003 S CONGRESS AVE STE 2E, PALM SPRINGS, FL, 334612169, US | |||||||||||||||||||||||||
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| Phone | +1 305-450-7518 |
Authorized person
| Name | DR. JOSE RAMON RODRIGUEZ-DIAZ |
| Role | CMO |
| Phone | 9395450522 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| KUTTIYANI, ALISHA | Agent | 1195 N. Military Trail, Suite 5B, West Palm Beach, FL 33409 |
| Name | Role | Address |
|---|---|---|
| KUTTIYANI, ALISHA | PRESIDENT | 1195 N. Military Trail, Suite 5B West Palm Beach, FL 33409 |
| Name | Role | Address |
|---|---|---|
| KUTTIYANI, JOY | Authorized Member | 1195 N. Military Trail, Suite 5B West Palm Beach, FL 33409 |
| Kuttiyani, Thangam | Authorized Member | 8305 Phoenician Ct, Davie, FL 33328 |
| JUSTIN, LEIANN | Authorized Member | 8305 Phoenician Ct, Davie, FL 33328 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-26 | 1195 N. Military Trail, Suite 5B, West Palm Beach, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-26 | 1195 N. Military Trail, Suite 5B, West Palm Beach, FL 33409 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-26 | 1195 N. Military Trail, Suite 5B, West Palm Beach, FL 33409 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-03-21 |
| Florida Limited Liability | 2021-03-15 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
