| Entity Name: | BIOCORE THERAPEUTICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Apr 2022 (3 years ago) |
| Document Number: | L22000203575 |
| FEI/EIN Number | 882791516 |
| Address: | 1002 S. Dillard St. #114, winter garden, FL, 34787, US |
| Mail Address: | 1002 Dillard St S,, Ste 114, Winter Garden, FL, 34787, US |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205548450 | 2022-12-20 | 2022-12-20 | 1616 S TANNER RD, ORLANDO, FL, 328332791, US | 1002 S DILLARD ST STE 114, WINTER GARDEN, FL, 347873991, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 216-570-6083 |
| Phone | +1 407-307-1510 |
Authorized person
| Name | CHRISTOPHER WAYNE LUCZYWO |
| Role | PRACTICE MANAGER |
| Phone | 4073071511 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LUCZYWO CHRISTOPHER | Agent | 1616 S TANNER RD, ORLANDO, FL, 32833 |
| Name | Role | Address |
|---|---|---|
| LUCZYWO CHRISTOPHER | Auth | 1616 S TANNER RD, ORLANDO, 32833 |
| Kauffman Melissa | Auth | 309 W Oakland Ave, Oakland, FL, 34760 |
| Kiec Christian | Auth | 7515 Avon Ln, Chesterland, OH, 44026 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-24 | 1002 S. Dillard St. #114, winter garden, FL 34787 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-17 | 1002 S. Dillard St. #114, winter garden, FL 34787 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-01-17 |
| Florida Limited Liability | 2022-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
