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ASSURED MENTAL & PHYSICAL HEALTH, LLC

Company Details

Entity Name: ASSURED MENTAL & PHYSICAL HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 14 Oct 2021 (3 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 26 Jun 2023 (2 years ago)
Document Number: L21000449724
FEI/EIN Number 87-3103538
Address: 673 W LUMSDEN RD, BRANDON, FL 33511
Mail Address: 673 W LUMSDEN RD, BRANDON, FL 33511
ZIP code: 33511
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073279287 2021-11-11 2024-04-23 673 W LUMSDEN RD, BRANDON, FL, 335115911, US 673 W LUMSDEN RD, BRANDON, FL, 335115911, US

Contacts

Phone +1 813-797-6174
Fax 8133368306

Authorized person

Name SANDTRAIL FEET
Role OWNER
Phone 8137976174

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary No

Agent

Name Role Address
FEET, SANDTRAIL Agent 673 W LUMSDEN RD, BRANDON, FL 33511

Manager

Name Role Address
FEET, SANDTRAIL Manager 673 W LUMSDEN RD, BRANDON, FL 33511
FEET, DEMETRECE Manager 673 W LUMSDEN RD, BRANDON, FL 33511

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2023-06-26 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-06-26 673 W LUMSDEN RD, BRANDON, FL 33511 No data
CHANGE OF MAILING ADDRESS 2023-06-26 673 W LUMSDEN RD, BRANDON, FL 33511 No data
REGISTERED AGENT ADDRESS CHANGED 2023-06-26 673 W LUMSDEN RD, BRANDON, FL 33511 No data

Documents

Name Date
ANNUAL REPORT 2024-04-16
CORLCRACHG 2023-06-26
ANNUAL REPORT 2023-04-08
ANNUAL REPORT 2022-04-08
Florida Limited Liability 2021-10-14

Date of last update: 12 Feb 2025

Sources: Florida Department of State