| Entity Name: | COMPLETE MEDICAL HEALTHCARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Jun 2023 (2 years ago) |
| Document Number: | L23000309863 |
| FEI/EIN Number | 92-3950016 |
| Address: | 735 DUNLAWTON, PORT ORANGE, FL, 32129 |
| Mail Address: | 735 DUNLAWTON, PORT ORANGE, FL, 32129 |
| ZIP code: | 32129 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396572855 | 2024-09-18 | 2024-10-15 | 735 DUNLAWTON AVE, PORT ORANGE, FL, 321279226, US | 735 DUNLAWTON AVE, PORT ORANGE, FL, 321279226, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 386-301-4450 |
| Fax | 3868724232 |
Authorized person
| Name | DR. DAVID HEISE |
| Role | OWNER |
| Phone | 3862351489 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HEISE DAVID | Agent | 2702 John Anderson Dr, Ormond Beach, FL, 32176 |
| Name | Role | Address |
|---|---|---|
| HEISE DAVID A | Manager | 2702 John Anderson Dr, Ormond Beach, FL, 32176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-04 | 2702 John Anderson Dr, Ormond Beach, FL 32176 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| Florida Limited Liability | 2023-06-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
