| Entity Name: | OPTIMAL PRIMARY CARE & WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
OPTIMAL PRIMARY CARE & WELLNESS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 13 Sep 2022 (3 years ago) |
| Document Number: | L22000398935 |
| FEI/EIN Number |
92-0339263
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 11233 SW 111TH ST, MIAMI, FL, 33176, US |
| Mail Address: | 11233 SW 111TH ST, MIAMI, FL, 33176, US |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730862152 | 2023-08-11 | 2023-08-11 | 11233 SW 111TH ST, MIAMI, FL, 331763232, US | 11233 SW 111TH ST, MIAMI, FL, 331763232, US | |||||||||||||||||||
|
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| Phone | +1 305-438-8044 |
Authorized person
| Name | LORRIE B ALTHAGE |
| Role | OWNER |
| Phone | 3054388044 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 14977409890 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALTHAGE LORRIE | Authorized Member | 11233 SW 111TH ST, MIAMI, FL, 33176 |
| UNITED STATES CORPORATION AGENTS, INC. | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-01-11 |
| Florida Limited Liability | 2022-09-13 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
