| Entity Name: | TRINITY CLINICAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Sep 2022 (2 years ago) |
| Document Number: | L22000386587 |
| FEI/EIN Number | 88-3931980 |
| Address: | 5089 San Ignacio Dr, Sebring, FL, 33872, US |
| Mail Address: | 5089 San Ignacio Dr, Sebring, FL, 33872, US |
| ZIP code: | 33872 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639864234 | 2023-04-10 | 2024-06-19 | 28 E MAIN ST UNIT 126, AVON PARK, FL, 338253943, US | 5089 SAN IGNACIO DR, SEBRING, FL, 338721760, US | |||||||||||||||||||||||
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| Phone | +1 786-459-4226 |
| Fax | 4582003014 |
Authorized person
| Name | MRS. KETSIA AURELIEN |
| Role | NURSE PRACTITIONER |
| Phone | 7864594226 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LG0600X - Gerontology Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| AURELIEN KETSIA | Agent | 5089 SAN IGNACIO DR, SEBRING, FL, 33872 |
| Name | Role | Address |
|---|---|---|
| AURELIEN KETSIA | Foun | 5089 SAN IGNACIO DR, SEBRING, FL, 33872 |
| Name | Role | Address |
|---|---|---|
| Aurelien Jude S | Manager | 5089 San Ignacio Dr, Sebring, FL, 33872 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-06 | 5089 San Ignacio Dr, Sebring, FL 33872 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-06 | 5089 San Ignacio Dr, Sebring, FL 33872 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-04-06 |
| Florida Limited Liability | 2022-09-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
