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REVIVE HEALTH ASSOCIATES, LLC

Company Details

Entity Name: REVIVE HEALTH ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 15 Jun 2021 (4 years ago)
Document Number: L21000277809
FEI/EIN Number 87-1229596
Address: 410 S. WARE BLVD, SUITE #828, TAMPA, FL 33619
Mail Address: 410 S. WARE BLVD, SUITE #828, TAMPA, FL 33619
ZIP code: 33619
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285204990 2021-06-26 2021-06-26 410 S WARE BLVD STE 828, TAMPA, FL, 336194469, US 410 S WARE BLVD STE 828, TAMPA, FL, 336194469, US

Contacts

Phone +1 813-419-1399
Fax 8135807161

Authorized person

Name DR. RAJNARINE KEVIN ROOPNARINE
Role PRESIDENT
Phone 8134191399

Taxonomy

Taxonomy Code 111NN0400X - Neurology Chiropractor
Is Primary No
Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
ROOPNARINE, RAJNARINE K Agent 410 S WARE. BLVD, SUITE #828, TAMPA, FL 33619

Manager

Name Role Address
ROOPNARINE, RAJNARINE K Manager 410 S. WARE BLVD SUITE #828, TAMPA, FL 33619

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000000322 EASY EMC ACTIVE 2023-01-03 2028-12-31 No data 410 S. WARE BLVD., STE #828, TAMPA, FL, 33619

Documents

Name Date
ANNUAL REPORT 2024-01-12
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-04-10
Florida Limited Liability 2021-06-15

Date of last update: 13 Feb 2025

Sources: Florida Department of State