| Entity Name: | DIVERSITY HEALTHCARE "LLC" |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Feb 2022 (3 years ago) |
| Document Number: | L22000087308 |
| FEI/EIN Number | 88-1001597 |
| Address: | 1011 EAST MAIN STREET, SUITE A, HAINES CITY, FL 33844 |
| Mail Address: | 6711 WINTERSET GARDENS RD, WINTER HAVEN, FL 33884 |
| ZIP code: | 33844 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144907429 | 2023-06-29 | 2024-06-20 | 1011 E MAIN ST, HAINES, FL, 33844, US | 1011 E MAIN ST, HAINES, FL, 33844, US | |||||||||||||||||||
|
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| Phone | +1 863-419-4422 |
| Fax | 8337951975 |
Authorized person
| Name | CLAYTON DALE REEDY |
| Role | OWNER |
| Phone | 8634194422 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| REEDY, CLAYTON | Agent | 6711 WINTERSET GARDENS RD, WINTER HAVEN, FL 33884 |
| Name | Role | Address |
|---|---|---|
| Reedy, Clayton D | Authorized Member | 1011 EAST MAIN STREET, SUITE A HAINES CITY, FL 33844 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-06 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-06 |
| Florida Limited Liability | 2022-02-23 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
