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FCP HEALTH, LLC

Company Details

Entity Name: FCP HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 04 May 2022 (3 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 05 Feb 2024 (a year ago)
Document Number: L22000185295
FEI/EIN Number 88-2267434
Address: 7900 NOVA DRIVE, SUITE 103, DAVIE, FL 33324
Mail Address: 7900 NOVA DRIVE, SUITE 103, DAVIE, FL 33324
ZIP code: 33324
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568249464 2023-09-13 2023-09-13 3361 ROUSE RD STE 205, ORLANDO, FL, 328172137, US 3361 ROUSE RD STE 205, ORLANDO, FL, 328172137, US

Contacts

Phone +1 407-704-1150
Fax 4072866206

Authorized person

Name MS. SHANA SIMPSON
Role VP OF OPERATIONS
Phone 4078682009

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
GBBPL REGISTERED AGENTS, LLC Agent 901 PONCE DE LEON BOULEVARD, SUITE 303, CORAL GABLES, FL 33134

Manager

Name Role Address
Vasquez, Balbino Manager 7900 NOVA DRIVE, SUITE 103, DAVIE, FL 33324

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-02-05 No data No data
REGISTERED AGENT NAME CHANGED 2024-02-05 GBBPL REGISTERED AGENTS, LLC No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
REINSTATEMENT 2024-02-05
Florida Limited Liability 2022-05-04

Date of last update: 12 Jan 2025

Sources: Florida Department of State