| Entity Name: | HOLY INFANT PRIMARY CARE AND WELLNESS CENTER PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 May 2023 (2 years ago) |
| Document Number: | L23000217779 |
| FEI/EIN Number | 92-3911819 |
| Address: | 2215 Nebraska Ave, 3E, Fort Pierce, FL 34950 |
| Mail Address: | 2215 Nebraska Ave, 3E, Fort Pierce, FL 34950 |
| ZIP code: | 34950 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417633991 | 2023-06-27 | 2023-06-28 | 6440 NW 170TH TER, HIALEAH, FL, 330154600, US | 2215 NEBRASKA AVE STE 3-E, FORT PIERCE, FL, 349504867, US | |||||||||||||
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| Phone | +1 786-368-7626 |
Authorized person
| Name | DR. ANNA JOSE ELISSENDA CHANOINE |
| Role | PHYSICIAN |
| Phone | 7863687626 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHANOINE, ANNA JOSE Elissenda | Agent | 1314 White Oak Lane, Fort Pierce, FL 34982 |
| Name | Role | Address |
|---|---|---|
| CHANOINE, ANNA JOSE Elissenda, Dr. | Manager | 2215 Nebraska Ave, 3 E Fort Pierce, FL 34950 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-27 | 2215 Nebraska Ave, 3E, Fort Pierce, FL 34950 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-27 | 2215 Nebraska Ave, 3E, Fort Pierce, FL 34950 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-05-27 | CHANOINE, ANNA JOSE Elissenda | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-27 | 1314 White Oak Lane, Fort Pierce, FL 34982 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-27 |
| Florida Limited Liability | 2023-05-03 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
