| Entity Name: | FULL LIFE PATIENT CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Aug 2023 (2 years ago) |
| Document Number: | L23000376883 |
| FEI/EIN Number | 93-2855535 |
| Address: | 7700 North Kendall Drive Suite 300-O, MIAMI, FL, 33156, US |
| Mail Address: | 9195 SW 114 STREET, MIAMI, FL, 33176, US |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982452124 | 2024-05-13 | 2024-05-13 | 7700 N KENDALL DR STE 300O, MIAMI, FL, 331567559, US | 7700 N KENDALL DR STE 300O, MIAMI, FL, 331567559, US | |||||||||||||||
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| Phone | +1 305-260-6707 |
| Fax | 7862061992 |
Authorized person
| Name | MAX E HERNANDEZ |
| Role | ADMINISTRATOR |
| Phone | 3052606707 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SALAZAR JUAN | Agent | 9195 SW 114 STREET, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| SALAZAR JUAN | Authorized Member | 9195 SW 114 STREET, MIAMI, FL, 33176 |
| RODRIGUEZ AIDA | Authorized Member | 9195 SW 114 STREET, MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-15 | 7700 North Kendall Drive Suite 300-O, MIAMI, FL 33156 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| Florida Limited Liability | 2023-08-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
