| Entity Name: | MENDING HEARTS PRIMARY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Nov 2023 (a year ago) |
| Document Number: | L23000530780 |
| FEI/EIN Number | 93-4743674 |
| Address: | 7901 4TH ST N, #8298, ST. PETERSBURG, FL 33702 |
| Mail Address: | 7901 4TH ST N, #8298, ST. PETERSBURG, FL 33702 |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245008333 | 2023-12-18 | 2023-12-18 | 7901 4TH ST N STE 8298, ST PETERSBURG, FL, 337024305, US | 7901 4TH ST N STE 8298, ST PETERSBURG, FL, 337024305, US | |||||||||||||
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| Phone | +1 570-236-2111 |
Authorized person
| Name | STEPHANIE BAILEY |
| Role | OWNER |
| Phone | 5702362113 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| BAILEY, STEPHANIE | Authorized Member | 7901 4TH ST N STE 300, ST. PETERSBURG, FL 33702 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-31 | 7901 4TH ST N, #8298, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-31 | 7901 4TH ST N, #8298, ST. PETERSBURG, FL 33702 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| Florida Limited Liability | 2023-11-29 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
