| Entity Name: | NORTHWEST FAMILY HEALTH CENTER II, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Nov 2022 (2 years ago) |
| Document Number: | L22000505426 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 1630 MASON AVE, UNIT B, DAYTONA BEACH, FL, 32117, US |
| Mail Address: | P O BOX 951306, LAKE MARY, FL, 32795, US |
| ZIP code: | 32117 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669229944 | 2024-05-03 | 2024-05-03 | PO BOX 951306, LAKE MARY, FL, 327951306, US | 1630 MASON AVE STE B, DAYTONA BEACH, FL, 321174503, US | |||||||||||||||
|
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| Phone | +1 386-888-4006 |
| Fax | 4072194221 |
Authorized person
| Name | DR. GARRY ANTOINE |
| Role | PRESIDENT & CEO |
| Phone | 8458211291 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| GARVA CAPITAL, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| ANTOINE GARRY BMD | Manager | 5844 NORTH ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32810 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000031809 | NORTHWEST FAMILY HEALTH CENTER | ACTIVE | 2023-03-08 | 2028-12-31 | No data | 1630 MASON AVENUE, SUITE B, DAYTONA BEACH, FL, 32117 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-08 | GarVa Capital, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-08 | 1630 Mason Avenue, Unit B, Daytona Beach, FL 32117 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-03-08 |
| Florida Limited Liability | 2022-11-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
