| Entity Name: | SOLACE MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Feb 2023 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 03 Oct 2024 (4 months ago) |
| Document Number: | L23000075475 |
| FEI/EIN Number | 92-2988684 |
| Address: | 1890 PALM BAY RD, PALM BAY, FL 32905 |
| Mail Address: | 1890 PALM BAY RD, PALM BAY, FL 32905 |
| ZIP code: | 32905 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962105627 | 2023-03-22 | 2023-07-14 | 10524 MOSS PARK RD STE 204-750, ORLANDO, FL, 328325898, US | 4739 OLD CANOE CREEK RD, SAINT CLOUD, FL, 347691400, US | |||||||||||||
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| Phone | +1 321-327-8336 |
Authorized person
| Name | LUIS ALVARADO |
| Role | CMO |
| Phone | 4077174159 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NOVA QUANTIFIED LLC | Agent |
| Name | Role |
|---|---|
| JQT INVESTMENTS LLC | Manager |
| Name | Role |
|---|---|
| NOVA QUANTIFIED LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-10-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-13 | 1890 PALM BAY RD, PALM BAY, FL 32905 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-13 | 1890 PALM BAY RD, PALM BAY, FL 32905 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-10-03 |
| ANNUAL REPORT | 2024-05-01 |
| Florida Limited Liability | 2023-02-10 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
