| Entity Name: | BERG PRIMARY CARE & HOUSE CALLS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 May 2021 (4 years ago) |
| Document Number: | L21000228570 |
| FEI/EIN Number | 86-3951948 |
| Address: | 50 8TH AVENUE SW, #782, LARGO, FL, 33770, UN |
| Mail Address: | 50 8TH AVENUE SW, #782, LARGO, FL, 33770, UN |
| ZIP code: | 33770 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538832035 | 2021-07-29 | 2021-10-05 | PO BOX 782, LARGO, FL, 337790782, US | 211 LIVE OAK LN, LARGO, FL, 337704074, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 727-233-1951 |
| Fax | 7273139841 |
Authorized person
| Name | ALEXANDRIA MILLS BERG |
| Role | OWNER |
| Phone | 7272331951 |
Taxonomy
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BERG ALEXANDRIA M | Agent | 211 LIVE OAK LANE, LARGO, FL, 33770 |
| Name | Role | Address |
|---|---|---|
| Berg Alexandria | Owne | 211 Live Oak Lane, Largo, FL, 33770 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-08-01 | 50 8TH AVENUE SW, #782, LARGO, FL 33770 UN | No data |
| CHANGE OF MAILING ADDRESS | 2025-08-01 | 50 8TH AVENUE SW, #782, LARGO, FL 33770 UN | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-01 | 50 8TH AVENUE SW, #782, LARGO, FL 33770 UN | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-01 | 50 8TH AVENUE SW, #782, LARGO, FL 33770 UN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-16 |
| Florida Limited Liability | 2021-05-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
