| Entity Name: | STEINHATCHEE RIVER PRIMARY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 May 2023 (2 years ago) |
| Document Number: | L23000224947 |
| FEI/EIN Number | 92-4009953 |
| Mail Address: | 1400 NE SR 47, TRENTON, FL, 32693 |
| Address: | 101 11th Street East, Steinhatchee, FL, 32359, US |
| ZIP code: | 32359 |
| County: | Taylor |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295419877 | 2023-06-14 | 2023-07-28 | 1400 NE STATE ROAD 47, TRENTON, FL, 326935035, US | 101 11TH STREET SE, STEINHATCHEE, FL, 32359, US | |||||||||||||
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| Phone | +1 352-538-1327 |
Authorized person
| Name | KELLIE ANN WHITE |
| Role | OWNER |
| Phone | 3525381327 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WHITE KELLIE | Agent | 1400 NE SR 47, TRENTON, FL, 32693 |
| Name | Role | Address |
|---|---|---|
| WHITE KELLIE | Manager | 1400 NE SR 47, TRENTON, FL, 32693 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-12 | 101 11th Street East, Steinhatchee, FL 32359 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-12 |
| Florida Limited Liability | 2023-05-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
