| Entity Name: | ALTA MEDICAL CARE, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jan 2023 (2 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 07 Dec 2023 (a year ago) |
| Document Number: | L23000044944 |
| FEI/EIN Number | 92-1747085 |
| Address: | 3537 NORTH PINE ISLAND RD, SUNRISE, FL 33351 |
| Mail Address: | 3537 NORTH PINE ISLAND RD, SUNRISE, FL 33351 |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265282404 | 2024-03-22 | 2024-10-02 | 3537 N PINE ISLAND RD, SUNRISE, FL, 333516638, US | 3537 N PINE ISLAND RD, SUNRISE, FL, 333516638, US | |||||||||||||
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| Phone | +1 954-270-4325 |
Authorized person
| Name | MR. BENZ R CELESTIN |
| Role | MANAGING OWNER |
| Phone | 9542704325 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CELESTIN, BENZ R | Agent | 3760 INVERRARY DRIVE, 1P, LAUDERHILL, FL 33319 |
| Name | Role | Address |
|---|---|---|
| CELESTIN, BENZ R | Manager | 3760 INVERRARY DRIVE, 1P LAUDERHILL, FL 33319 |
| Name | Role | Address |
|---|---|---|
| LOUISSAINT, SONUEL | Authorized Member | 4773 NW 58TH TERRACE, CORAL SPRINGS, FL 33067 |
| DORLUS, THOMAS | Authorized Member | 9341 NW 39TH COURT, SUNRISE, FL 33351 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000015968 | ALTA MEDICAL | ACTIVE | 2023-02-01 | 2028-12-31 | No data | 1871 WEST OAKLAND PARK BLVD., SUITE W., OAKLAND PARK, FL, 33311 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-19 | 3537 NORTH PINE ISLAND RD, SUNRISE, FL 33351 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-19 | 3537 NORTH PINE ISLAND RD, SUNRISE, FL 33351 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-19 | 3760 INVERRARY DRIVE, 1P, LAUDERHILL, FL 33319 | No data |
| LC AMENDMENT AND NAME CHANGE | 2023-12-07 | ALTA MEDICAL CARE, LLC. | No data |
| REGISTERED AGENT NAME CHANGED | 2023-12-07 | CELESTIN, BENZ R | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-19 |
| ANNUAL REPORT | 2024-04-30 |
| LC Amendment and Name Change | 2023-12-07 |
| Florida Limited Liability | 2023-01-24 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
