| Entity Name: | F.O.UR HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Jan 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 29 Sep 2023 (a year ago) |
| Document Number: | L22000013584 |
| FEI/EIN Number | 874419378 |
| Address: | 3390 KORI RD., STE. #9, JACKSONVILLE, FL, 32257, US |
| Mail Address: | 3191 KERNAN LAKE CIRCLE, Apt. 204, JACKSONVILLE, FL, 32246, US |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710635412 | 2022-03-13 | 2024-04-15 | 3191 KERNAN LAKE CIR APT 204, JACKSONVILLE, FL, 322463338, US | 3390 KORI RD STE 9, JACKSONVILLE, FL, 322572419, US | |||||||||||||
|
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| Phone | +1 904-377-3769 |
Authorized person
| Name | MISS TANYA FELICIA ADAMS |
| Role | NURSE PRACTITIONER |
| Phone | 9043773769 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| ADAMS TANYA F | Authorized Member | 3191 KERNAN LAKE CIRCLE, APT. 204, JACKSONVILLE, FL, 32246 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-09-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-29 | 3390 KORI RD., STE. #9, JACKSONVILLE, FL 32257 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-14 | 3390 KORI RD., STE. #9, JACKSONVILLE, FL 32257 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| LC Amendment | 2023-09-29 |
| ANNUAL REPORT | 2023-04-14 |
| Florida Limited Liability | 2022-01-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
