| Entity Name: | CASA CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Mar 2021 (4 years ago) |
| Document Number: | L21000126117 |
| FEI/EIN Number | 86-2670846 |
| Address: | 2878 ROOSEVELT BLVD, CLEARWATER, FL 33760 |
| Mail Address: | 5512 18TH ST NE, ST PETERSBURG, FL 33703 |
| ZIP code: | 33760 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679151708 | 2021-03-30 | 2021-03-30 | 3218 W HORATIO ST, TAMPA, FL, 336093028, US | 13920 58TH ST N STE 1006, CLEARWATER, FL, 337603770, US | |||||||||||||
|
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| Phone | +1 813-600-9981 |
Authorized person
| Name | DR. THEOPHILUS SAI |
| Role | MEMBER |
| Phone | 8136009981 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALVAREZ, REBECCA | Agent | 5512 18TH ST NE, ST PETERSBURG, FL 33703 |
| Name | Role |
|---|---|
| EDEL ALVAREZ MD LLC | Authorized Member |
| BRAVANT LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-21 | 2878 ROOSEVELT BLVD, CLEARWATER, FL 33760 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-04-12 |
| Florida Limited Liability | 2021-03-17 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
