| Entity Name: | AMERICA CHOICE FAMILY CLINIC AND BEHAVIOR HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Jun 2021 (4 years ago) |
| Document Number: | L21000302001 |
| FEI/EIN Number | 87-1167173 |
| Address: | 433 n ridgewood ave, edgewater, FL, 32132, US |
| Mail Address: | 8028 arcadian ct, mount dora, FL, 32757, US |
| ZIP code: | 32132 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710557699 | 2021-07-01 | 2021-10-13 | 11352 SW WYNDHAM WAY, PORT SAINT LUCIE, FL, 349872784, US | 15701 STATE ROAD 50 STE 204, CLERMONT, FL, 347119203, US | |||||||||||||
|
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| Phone | +1 239-245-1698 |
Authorized person
| Name | SCOTT MENARD |
| Role | OWNER/CEO |
| Phone | 2392451698 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MENARD SCOTT | Agent | 5035 edgewater dr, orlando, FL, 38810 |
| Name | Role | Address |
|---|---|---|
| MENARD SCOTT | Director | 5035 edgewater dr, orlando, FL, 38810 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-31 | 433 n ridgewood ave, edgewater, FL 32132 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-31 | 433 n ridgewood ave, edgewater, FL 32132 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-26 | 5035 edgewater dr, orlando, FL 38810 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-10 |
| Florida Limited Liability | 2021-06-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
