| Entity Name: | HEAL PRECISELY OF NORTHSIDE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 May 2022 (3 years ago) |
| Document Number: | L22000232677 |
| FEI/EIN Number | 88-2740590 |
| Address: | 5880 49TH STREET NORTH, SUITE N-201, ST. PETERSBURG, FL 33709 |
| Mail Address: | 5880 49TH STREET NORTH, SUITE N-201, ST. PETERSBURG, FL 33709 |
| ZIP code: | 33709 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093433674 | 2022-08-18 | 2024-08-28 | 5880 49TH ST N STE N201, ST PETERSBURG, FL, 337092150, US | 5880 49TH ST N STE N201, ST PETERSBURG, FL, 337092150, US | |||||||||||||||||||||||
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| Phone | +1 727-300-0405 |
| Fax | 8555523776 |
Authorized person
| Name | MARK GREER |
| Role | OWNER |
| Phone | 7273000405 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HASTON, SHADDRICK A | Agent | 5880 49TH STREET NORTH, N-201, ST. PETERSBURG, FL 33709 |
| Name | Role | Address |
|---|---|---|
| Greer, Mark | Manager | 5880 49TH STREET NORTH, SUITE N-201, ST. PETERSBURG, FL 33709 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000085277 | HEAL PRECISELY | ACTIVE | 2022-07-19 | 2027-12-31 | No data | 5880 49TH STREET NORTH, SUITE N-201, ST PETERSBURG, FL, 33709 |
| G22000084768 | HEAL PRECISELY OF NORTHSIDE | ACTIVE | 2022-07-18 | 2027-12-31 | No data | 5880 49TH STREET NORTH, SUITE N-201, ST PETERSBURG, FL, 33709 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-06-24 |
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-03-15 |
| Florida Limited Liability | 2022-05-18 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
