| Entity Name: | SOLACE MEDICAL CARE PB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Mar 2023 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 06 Aug 2024 (6 months ago) |
| Document Number: | L23000137453 |
| FEI/EIN Number | 92-3328719 |
| Mail Address: | 10524 MOSS PARK RD STE 204-750, ORLANDO, FL 32832 |
| Address: | 1890 PALM BAY RD NE STE 1, PALM BAY, FL 32905 |
| ZIP code: | 32905 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114605706 | 2023-07-05 | 2023-07-10 | 10524 MOSS PARK RD STE 204-750, ORLANDO, FL, 328325898, US | 1890 PALM BAY RD NE STE 1, PALM BAY, FL, 329053071, US | |||||||||||||
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| Phone | +1 407-593-2290 |
Authorized person
| Name | JOS QUEZADA |
| Role | CFO |
| Phone | 4073018116 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MATA, BYRON | Agent | 1890 PALM BAY RD NE STE 1, PALM BAY, FL 32905 |
| Name | Role | Address |
|---|---|---|
| MATA, BYRON | Authorized Member | 1890 PALM BAY RD NE STE 1, PALM BAY, FL 32905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-08-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-08-06 | MATA, BYRON | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-13 | 1890 PALM BAY RD NE STE 1, PALM BAY, FL 32905 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-13 | 1890 PALM BAY RD NE STE 1, PALM BAY, FL 32905 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-08-06 |
| ANNUAL REPORT | 2024-04-29 |
| Florida Limited Liability | 2023-03-17 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
