| Entity Name: | ALLEGIANT HEALTH & ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Oct 2021 (3 years ago) |
| Document Number: | L21000142263 |
| FEI/EIN Number | 863088219 |
| Address: | 130 Bates Ave SW, STE 111, Winter Haven, FL, 33880, US |
| Mail Address: | PO BOX 92923, LAKELAND, FL, 33904, US |
| ZIP code: | 33880 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770235376 | 2022-01-25 | 2022-01-25 | PO BOX 92923, LAKELAND, FL, 338042923, US | 1132 1ST ST S, WINTER HAVEN, FL, 338803903, US | |||||||||||||||
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| Phone | +1 863-528-8202 |
| Phone | +1 863-256-2888 |
Authorized person
| Name | EBONY MONIQUE ROLLINS |
| Role | PRACTICE MANGER |
| Phone | 8635288202 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROLLINS EBONY | Agent | 130 Bates Ave SW, Winter Haven, FL, 33880 |
| Name | Role | Address |
|---|---|---|
| ROLLINS EBONY | Manager | PO BOX 92923, LAKELAND, FL, 33804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-11-20 | 130 Bates Ave SW, STE 111, Winter Haven, FL 33880 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-11-20 | 130 Bates Ave SW, STE 111, Winter Haven, FL 33880 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-29 | 130 Bates Ave SW, STE 111, Winter Haven, FL 33880 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| AMENDED ANNUAL REPORT | 2023-11-20 |
| ANNUAL REPORT | 2023-03-05 |
| AMENDED ANNUAL REPORT | 2022-03-18 |
| ANNUAL REPORT | 2022-01-27 |
| Florida Limited Liability | 2021-03-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
