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ALLIED FAMILY HEALTH, LLC

Company Details

Entity Name: ALLIED FAMILY HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 22 Nov 2021 (3 years ago)
Last Event: LC STMNT CORR
Event Date Filed: 10 Dec 2021 (3 years ago)
Document Number: L21000499137
FEI/EIN Number 87-3703617
Address: 3208 Chiquita Blvd, UNIT 108, Cape Coral, FL 33914
Mail Address: PO BOX 100788, CAPE CORAL, FL 33910
ZIP code: 33914
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336800721 2022-01-07 2024-01-23 3208 CHIQUITA BLVD S STE 108, CAPE CORAL, FL, 339144267, US 3208 CHIQUITA BLVD S STE 108, CAPE CORAL, FL, 339144267, US

Contacts

Phone +1 800-933-2076

Authorized person

Name MRS. AMY L GONZALEZ
Role PRESIDENT
Phone 2393193933

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALLIED FAMILY HEALTH LLC 401(K) PLAN 2023 873703617 2024-09-05 ALLIED FAMILY HEALTH, LLC 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-10-01
Business code 621111
Sponsor’s telephone number 7067673476
Plan sponsor’s address 3208 CHIQUITA BLVD, UNIT 108, CAPE CORAL, FL, 33914

Agent

Name Role Address
GONZALEZ, AMY L Agent 3208 Chiquita Blvd, UNIT 108, Cape Coral, FL 33914

Authorized Member

Name Role Address
GONZALEZ, AMY L Authorized Member PO BOX 100788, CAPE CORAL, FL 33910
GONZALEZ, LUIS C Authorized Member PO BOX 100788, CAPE CORAL, FL 33910

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-30 3208 Chiquita Blvd, UNIT 108, Cape Coral, FL 33914 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-30 3208 Chiquita Blvd, UNIT 108, Cape Coral, FL 33914 No data
LC STMNT CORR 2021-12-10 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-04-04
CORLCSTCOR 2021-12-10
Florida Limited Liability 2021-11-22

Date of last update: 13 Jan 2025

Sources: Florida Department of State