| Entity Name: | TRIDENT HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Oct 2022 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 03 Sep 2024 (5 months ago) |
| Document Number: | L22000450388 |
| FEI/EIN Number | 36-5042497 |
| Address: | 1034 CHEYENNE BLVD, INDIAN HARBOUR BEACH, FL, 32937 |
| Mail Address: | 1034 CHEYENNE BLVD, INDIAN HARBOUR BEACH, FL, 32937 |
| ZIP code: | 32937 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518676329 | 2022-11-21 | 2023-01-25 | 1034 CHEYENNE BLVD, INDIAN HARBOUR BEACH, FL, 329373694, US | 6549 N WICKHAM RD STE 103E, MELBOURNE, FL, 329402041, US | |||||||||||||||||||||
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| Phone | +1 321-508-2343 |
| Phone | +1 321-364-2822 |
| Fax | 3213642844 |
Authorized person
| Name | MRS. TAMARA A EDELSTEIN-SNIDER |
| Role | OWNER |
| Phone | 3215082343 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| TENNEX TAX SOLUTIONS | Agent | 1203 US HIGHWAY 1, SEBASTIAN, FL, 32958 |
| Name | Role | Address |
|---|---|---|
| EDELSTEIN TAMARA | Manager | 1034 CHEYENNE BLVD, INDIAN HARBOUR BEACH, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| SNIDER THOMAS | Authorized Member | 1034 CHEYENNE BLVD, INDIAN HARBOR BEACH, FL, 32937 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-09-03 | No data | No data |
| REINSTATEMENT | 2024-05-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-05-01 | TENNEX TAX SOLUTIONS | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-09-03 |
| REINSTATEMENT | 2024-05-01 |
| Florida Limited Liability | 2022-10-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
