| Entity Name: | SOLACE MEDICAL CARE SC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Mar 2023 (2 years ago) |
| Document Number: | L23000137443 |
| FEI/EIN Number | 92-3149768 |
| Address: | 4739 OLD CANOE CREEK ROAD, SAINT CLOUD, FL 34769 |
| Mail Address: | 10524 MOSS PARK RD STE 204-750, ORLANDO, FL 32832 |
| ZIP code: | 34769 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275229965 | 2023-04-14 | 2023-04-14 | 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 | +1 407-593-2290 |
Authorized person
| Name | LUIS ALVARADO |
| Role | CHIEF MEDICAL OFFICER |
| Phone | 3216240533 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Quezada, Jose | Agent | 10524 MOSS PARK RD STE 204-750, ORLANDO, FL 32832 |
| Name | Role |
|---|---|
| NOVA HEALTHCARE MANAGEMENT LLC | Authorized Member |
| NOVA QUANTIFIED LLC | Authorized Member |
| Name | Role |
|---|---|
| JQT INVESTMENTS LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-05-01 | Quezada, Jose | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-13 | 4739 OLD CANOE CREEK ROAD, SAINT CLOUD, FL 34769 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-13 | 4739 OLD CANOE CREEK ROAD, SAINT CLOUD, FL 34769 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| Florida Limited Liability | 2023-03-17 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
