| Entity Name: | SUNSOUTH ST. JUDE HEALTH CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Nov 2021 (3 years ago) |
| Document Number: | L21000495001 |
| FEI/EIN Number | 38-4213441 |
| Address: | 14690 SPRING HILL DRIVE, SPRING HILL, FL, 34609, US |
| Mail Address: | 14690 SPRING HILL DRIVE, SPRING HILL, FL, 34609, US |
| ZIP code: | 34609 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548037807 | 2023-12-07 | 2023-12-12 | 14690 SPRING HILL DR, SPRING HILL, FL, 346098102, US | 8374 PINES BLVD, PEMBROKE PINES, FL, 330246616, US | |||||||||||||||||||
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| Phone | +1 954-429-6986 |
| Fax | 9544296987 |
Authorized person
| Name | CARLOS ARIAS |
| Role | CEO |
| Phone | 3522775305 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FRICK SCOTT AESQ. | Agent | 1005 N MARION STREET, TAMPA, FL, 33602 |
| Name | Role |
|---|---|
| SUNSOUTH HEALTH CENTERS SOUTH FLORIDA, LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-07 | 14690 SPRING HILL DRIVE, SUITE 101, SPRING HILL, FL 34609 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-07 | 14690 SPRING HILL DRIVE, SUITE 101, SPRING HILL, FL 34609 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-04-07 |
| Florida Limited Liability | 2021-11-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
