| Entity Name: | HEALTH ACCESS CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Oct 2021 (3 years ago) |
| Document Number: | L21000439104 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 1065 NE 125 ST, 324, MIAMI, FL 33161 |
| Mail Address: | 1065 NE 125 ST, 324, MIAMI, FL 33161 |
| ZIP code: | 33161 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275298044 | 2021-11-05 | 2021-11-05 | 1005 NE 125TH ST STE 202, NORTH MIAMI, FL, 331615858, US | 1005 NE 125TH ST STE 202, NORTH MIAMI, FL, 331615858, US | |||||||||||||
|
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| Phone | +1 305-927-3777 |
Authorized person
| Name | RICHARDSON MOTHERSIL |
| Role | MGR |
| Phone | 7869918905 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Mothersil, Richardson | Agent | 1065 NE 125 ST, 324, MIAMI, FL 33161 |
| Name | Role | Address |
|---|---|---|
| Mothersil, Richardson | Manager | 1065 NE 125 ST SUITE 324, MIAMI, FL 33161 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-15 | Mothersil, Richardson | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-24 | 1065 NE 125 ST, 324, MIAMI, FL 33161 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-24 | 1065 NE 125 ST, 324, MIAMI, FL 33161 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-24 | 1065 NE 125 ST, 324, MIAMI, FL 33161 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-24 |
| Florida Limited Liability | 2021-10-07 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
