| Entity Name: | LONGEVITY CLINICAL LTC ASSOCIATES OF FLORIDA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
LONGEVITY CLINICAL LTC ASSOCIATES OF FLORIDA, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 04 May 2021 (4 years ago) |
| Document Number: | L21000193751 |
| FEI/EIN Number |
86-3802800
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 11780 N US HIGHWAY 1, NORTH PALM BEACH, FL, 33408, US |
| Mail Address: | 11780 N US HIGHWAY 1, NORTH PALM BEACH, FL, 33408, US |
| ZIP code: | 33408 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639743750 | 2021-05-13 | 2021-05-14 | 11770 US 1, PALM BEACH GARDENS, FL, 334083027, US | 4300 ROCK ISLAND RD, LAUDERHILL, FL, 333194528, US | |||||||||||||||||||||||||||
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| Phone | +1 561-815-2427 |
| Phone | +1 954-485-6144 |
Authorized person
| Name | DIANE VINCUR |
| Role | CLINICAL SUPPORT TALENT SPECIALIST |
| Phone | 5618152427 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 363LG0600X - Gerontology Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Pitts Endia JMD | Authorized Member | 212 Cape August Place, Belmont, NC, 28012 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-30 | 11780 N US HIGHWAY 1, N107, NORTH PALM BEACH, FL 33408 | - |
| CHANGE OF MAILING ADDRESS | 2023-01-30 | 11780 N US HIGHWAY 1, N107, NORTH PALM BEACH, FL 33408 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-10 |
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-04-05 |
| Florida Limited Liability | 2021-05-04 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
