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ADVANCED CARE CONSULTANTS, LLC

Company Details

Entity Name: ADVANCED CARE CONSULTANTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Sep 2021 (3 years ago)
Document Number: L21000406258
FEI/EIN Number 87-2744713
Address: 7901 SW 6th Court, Plantation, FL, 33324, US
Mail Address: 5944 Coral Ridge Dr, CORAL SPRINGS, FL, 33076, US
ZIP code: 33324
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003587361 2021-09-25 2024-08-05 5944 CORAL RIDGE DR # 268, CORAL SPRINGS, FL, 330763300, US 8201 N UNIVERSITY DR #201, TAMARAC, FL, 33321, US

Contacts

Phone +1 888-701-4161
Fax 8666351584

Authorized person

Name ALTIA A LANDIS
Role OWNER
Phone 8887014161

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary No
Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
LANDIS ALTIA Agent 5944 Coral Ridge Dr, CORAL SPRINGS, FL, 33076

Owne

Name Role Address
LANDIS ALTIA Owne 5944 Coral Ridge Dr, CORAL SPRINGS, FL, 33076

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000045406 MINDSHIFT ACTIVE 2023-04-10 2028-12-31 No data 5944 CORAL RIDGE DR, #268, CORAL SPRINGS, FL, 33076

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-25 5944 Coral Ridge Dr, #268, CORAL SPRINGS, FL 33076 No data
CHANGE OF PRINCIPAL ADDRESS 2024-01-17 7901 SW 6th Court, Suite 350 #303, Plantation, FL 33324 No data
CHANGE OF MAILING ADDRESS 2023-08-01 7901 SW 6th Court, Suite 350 #303, Plantation, FL 33324 No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-03-30
ANNUAL REPORT 2022-04-29
Florida Limited Liability 2021-09-14

Date of last update: 02 Feb 2025

Sources: Florida Department of State