| Entity Name: | TRUCARE PEDIATRICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 Aug 2021 (3 years ago) |
| Document Number: | L21000388233 |
| FEI/EIN Number | 87-2459629 |
| Address: | 5200 Babcock St NE, Suite 302, Palm Bay, FL 32905 |
| Mail Address: | 5200 Babcock St NE, Suite 302, Palm Bay, FL 32905 |
| ZIP code: | 32905 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922761097 | 2021-10-15 | 2023-11-15 | 5200 BABCOCK ST NE STE 302, PALM BAY, FL, 329054648, US | 5200 BABCOCK ST NE STE 302, PALM BAY, FL, 329054648, US | |||||||||||||||
|
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| Phone | +1 321-285-7212 |
| Fax | 3212502038 |
Authorized person
| Name | DR. ERIKA DIOGENE |
| Role | PHYSICIAN |
| Phone | 3212857212 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| DIOGENE, ERIKA | Authorized Member | 5200 BABCOCK ST NE,, STE 302 PALM BAY, FL 32905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-12 | 5200 Babcock St NE, Suite 302, Palm Bay, FL 32905 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-12 | 5200 Babcock St NE, Suite 302, Palm Bay, FL 32905 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-08 |
| ANNUAL REPORT | 2024-01-12 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-03 |
| Florida Limited Liability | 2021-08-31 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
