| Entity Name: | CLERJO PRIMARY CARE & SPA LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 May 2023 (2 years ago) |
| Document Number: | L23000264977 |
| FEI/EIN Number | 92-3639097 |
| Address: | 885 N Powers Drive suite D, ORLANDO, FL, 32818, US |
| Mail Address: | 2104 COLTON DRIVE, ORLANDO, FL, 32822, US |
| ZIP code: | 32818 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639854045 | 2023-06-21 | 2023-12-04 | 5713 CLEARVIEW DR, ORLANDO, FL, 328197707, US | 5713 CLEARVIEW DR, ORLANDO, FL, 328197707, US | |||||||||||||
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| Phone | +1 407-409-4607 |
Authorized person
| Name | ANNE ESTHER JOSEPH |
| Role | MEMBER |
| Phone | 4074094607 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CLERVILLE MARIA | Agent | 2104 COLTON DRIVE, ORLANDO, FL, 32822 |
| Name | Role | Address |
|---|---|---|
| CLERVILLE MARIA B | Manager | 2104 COLTON DRIVE, ORLANDO, FL, 32822 |
| JOSEPH ANNE E | Manager | 5713 CLEARVIEW DR, ORLANDO, FL, 32819 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000148967 | CLERJO HEALTH | ACTIVE | 2023-12-08 | 2028-12-31 | No data | 2104 COLTON DRIVE, ORLANDO, US, 32822 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-25 | 885 N Powers Drive suite D, ORLANDO, FL 32818 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| Florida Limited Liability | 2023-05-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
