| Entity Name: | DARDEN FUNCTIONAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Mar 2023 (2 years ago) |
| Document Number: | L23000117241 |
| FEI/EIN Number | 923016597 |
| Address: | 4919 Vandyke Road, LUTZ, FL, 33558, US |
| Mail Address: | 4919 Vandyke Road, LUTZ, FL, 33558, US |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518658657 | 2023-05-18 | 2023-05-18 | 26246 WESLEY CHAPEL BLVD UNIT 109, LUTZ, FL, 335597206, US | 26246 WESLEY CHAPEL BLVD UNIT 109, LUTZ, FL, 335597206, US | |||||||||||||
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| Phone | +1 813-610-6737 |
Authorized person
| Name | DR. TRACY EYVETTE GREEN |
| Role | OWNER |
| Phone | 8136106737 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FERGUSON LEGAL, PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| GREEN TRACY E | Manager | 4919 Vandyke Road, LUTZ, FL, 33558 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-29 | Ferguson Legal, PLLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-29 | 5401 W. Kennedy Blvd., Ste. 100, Tampa, FL 33609 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-08-04 | 4919 Vandyke Road, LUTZ, FL 33558 | No data |
| CHANGE OF MAILING ADDRESS | 2023-08-04 | 4919 Vandyke Road, LUTZ, FL 33558 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| Florida Limited Liability | 2023-03-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
