| Entity Name: | SERENITY PRIMARY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 May 2023 (2 years ago) |
| Document Number: | L23000229724 |
| FEI/EIN Number | 92-3976352 |
| Mail Address: | 2399 NW VIA DELLA COURT, PORT SAINT LUCIE, FL 34986 |
| Address: | 11582 SW Village Parkway, Unit 283, PORT SAINT LUCIE, FL 34987 |
| ZIP code: | 34987 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821831553 | 2024-06-18 | 2024-06-18 | 11582 SW VILLAGE PKWY UNIT 283, PORT ST LUCIE, FL, 349872392, US | 2399 NW VIA DELLA CT, PORT ST LUCIE, FL, 349864373, US | |||||||||||||||
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| Phone | +1 772-409-8009 |
| Fax | 7724098009 |
Authorized person
| Name | MRS. ROSECLAIRE DARANG |
| Role | FAMILY NURSE PRACTITIONER |
| Phone | 7724098009 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DARANG, ROSECLAIRE | Agent | 2399 NW VIA DELLA COURT, PORT SAINT LUCIE, FL 34986 |
| Name | Role | Address |
|---|---|---|
| GUIRAND, JULES K | Manager | 2399 NW VIA DELLA COURT, PORT SAINT LUCIE, FL 34986 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-01 | 11582 SW Village Parkway, Unit 283, PORT SAINT LUCIE, FL 34987 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| Florida Limited Liability | 2023-05-09 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
