Entity Name: | CHALDEAN-CARE INFECTIOUS DISEASES LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 29 Jul 2022 (3 years ago) |
Document Number: | L22000334915 |
FEI/EIN Number | 88-3503551 |
Address: | 515 W. SR. 434, STE 306, LONGWOOD, FL 32750 |
Mail Address: | P.O. BOX 950001, LAKE MARY, FL 32795 |
ZIP code: | 32750 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1386362218 | 2022-08-17 | 2024-10-28 | 106 BOSTON AVE STE 209, ALTAMONTE SPRINGS, FL, 327014712, US | 106 BOSTON AVE STE 209, ALTAMONTE SPRINGS, FL, 327014712, US | |||||||||||||||||||
|
Phone | +1 321-972-8905 |
Fax | 3129728945 |
Authorized person
Name | DIANE C VANHORNE-PADILLA |
Role | OWNER |
Phone | 9566553078 |
Taxonomy
Taxonomy Code | 207RI0200X - Infectious Disease Physician |
Is Primary | Yes |
Taxonomy Code | 208M00000X - Hospitalist Physician |
Is Primary | No |
Name | Role | Address |
---|---|---|
VANHORNE, DIANE C, MD | Agent | 515 W. SR. 434, STE 306, LONGWOOD, FL 32750 |
Name | Role | Address |
---|---|---|
PADILLA SALINAS, SANTIAGO, SR | Authorized Member | 515 W. SR. 434, STE 306 LONGWOOD, FL 32750 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 515 W. SR. 434, STE 306, LONGWOOD, FL 32750 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2022-11-09 | 515 W. SR. 434, STE 306, LONGWOOD, FL 32750 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-30 |
ANNUAL REPORT | 2023-04-27 |
Florida Limited Liability | 2022-07-29 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State