| Entity Name: | ZION GLOBAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Feb 2022 (3 years ago) |
| Document Number: | L22000065369 |
| FEI/EIN Number | 881025113 |
| Address: | 30332 Stapleton St, Wesley Chapel, FL, 33545, US |
| Mail Address: | 30332 Stapleton St, Wesley Chapel, FL, 33545, US |
| ZIP code: | 33545 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467108910 | 2022-02-23 | 2023-03-21 | 2851 LEONARD DRIVE, APT J506, AVENTURA, FL, 33160, US | 2851 LEONARD DRIVE, APT J506, AVENTURA, FL, 33160, US | |||||||||||||||||||||||||||||
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| Phone | +1 479-856-2203 |
Authorized person
| Name | ANA U CHIPOLLINI |
| Role | PRESIDENT |
| Phone | 4798562201 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA DRIVER LICENSE |
| Number | C14505XXXXXXX |
| State | FL |
| Issuer | MEDICAID |
| Number | 107910XXX |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHIPOLLINI ANA U | Agent | 30332 STAPLETON ST., WESLEY CHAPEL, FL, 33545 |
| Name | Role | Address |
|---|---|---|
| CHIPOLLINI ANA U | Authorized Person | 30332 STAPLETON ST., WESLEY CHAPEL, FL, 33545 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-08 | 30332 STAPLETON ST., ., WESLEY CHAPEL, FL 33545 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-08-04 | 30332 Stapleton St, Wesley Chapel, FL 33545 | No data |
| CHANGE OF MAILING ADDRESS | 2023-08-04 | 30332 Stapleton St, Wesley Chapel, FL 33545 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-02-06 |
| Florida Limited Liability | 2022-02-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
