| Entity Name: | CLOVER LEAF MIDWIFERY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Jan 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 15 Jul 2022 (3 years ago) |
| Document Number: | L22000010018 |
| FEI/EIN Number | 87-4211718 |
| Address: | 18865 STATE RD 54, SUITE #181, LUTZ, FL, 33558, US |
| Mail Address: | 18865 STATE RD 54, SUITE #181, LUTZ, FL, 33558, US |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588360747 | 2023-01-31 | 2023-01-31 | 18865 STATE ROAD 54, STE 181, LUTZ, FL, 335588201, US | 4020 BLUE LANTANA LN, LAND O LAKES, FL, 346383561, US | |||||||||||||||
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| Fax | 8135363061 |
| Phone | +1 727-387-3939 |
Authorized person
| Name | ERICA LEA DIBARTOLO-BARCLAY |
| Role | MIDWIFE, OWNER |
| Phone | 3522189288 |
Taxonomy
| Taxonomy Code | 176B00000X - Midwife |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARR ASHLEIGH J | Agent | 18865 STATE RD 54, SUITE #181, LUTZ, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| CARR ASHLEIGH J | Authorized Member | 4020 BLUE LANTANA LANE, LAND O LAKES, FL, 34638 |
| BARCLAY ERICA L | Authorized Member | 18865 STATE RD 54, SUITE #181, LUTZ, FL, 33558 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-07-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-15 | 18865 STATE RD 54, SUITE #181, LUTZ, FL 33558 | No data |
| CHANGE OF MAILING ADDRESS | 2022-07-15 | 18865 STATE RD 54, SUITE #181, LUTZ, FL 33558 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-07-15 | 18865 STATE RD 54, SUITE #181, LUTZ, FL 33558 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-04-05 |
| LC Amendment | 2022-07-15 |
| Florida Limited Liability | 2022-01-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
