| Entity Name: | FLORIDA COMMUNITY HEALTH PARTNERS, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jan 2024 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 27 Feb 2024 (a year ago) |
| Document Number: | L24000028229 |
| FEI/EIN Number | 991005521 |
| Mail Address: | 8140 COLLEGE PRKWY STE 101, FT. MYERS, FL, 33907, US |
| Address: | 8140 COLLEGE PRKWY STE 101, FT. MYERS, FL, 33919, US |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720826035 | 2024-07-19 | 2024-07-19 | 8140 COLLEGE PKWY STE 101, FORT MYERS, FL, 339195189, US | 5231 NW 33RD AVE, FORT LAUDERDALE, FL, 333096302, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 239-202-8128 |
| Fax | 2392375659 |
Authorized person
| Name | KATIE JOHNSON |
| Role | OPERATIONS MANAGER |
| Phone | 4847694369 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ ARIEL | Agent | 20911 JOHNSON STREET, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ ARIEL | Manager | 20911 JOHNSON STREET, UNIT 101, PEMBROKE PINES, FL, 33029 |
| DUARTE MUNIZ DANIELA | Manager | 20911 JOHNSON STREET, UNIT 101, PEMBROKE PINES, FL, 33029 |
| DORADO ALBERTO | Manager | 20911 JOHNSON STREET, UNIT 101, PEMBROKE PINES, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-21 | 8140 COLLEGE PRKWY STE 101, FT. MYERS, FL 33919 | No data |
| LC AMENDMENT | 2024-02-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-27 | 8140 COLLEGE PRKWY STE 101, FT. MYERS, FL 33919 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-02-27 |
| Florida Limited Liability | 2024-01-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
