| Entity Name: | MEADOWCREST HEALTHCARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Feb 2024 (a year ago) |
| Document Number: | L24000074886 |
| Address: | 1250 N VANTAGE POINT DRIVE, CRYSTAL RIVER, FL, 34429 |
| Mail Address: | 1250 N VANTAGE POINT DRIVE, CRYSTAL RIVER, FL, 34429 |
| ZIP code: | 34429 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891541421 | 2024-04-25 | 2024-04-25 | 1250 N VANTAGE POINT DR, CRYSTAL RIVER, FL, 344295736, US | 512 N LECANTO HWY, LECANTO, FL, 344618547, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 352-795-0644 |
| Fax | 3527955950 |
Authorized person
| Name | DR. RYAN DICKERT |
| Role | OWNER |
| Phone | 3527950644 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MEADOWCREST FAMILY PHYSICIANS PA | Agent | 1250 N VANTAGE POINT DRIVE, CRYSTAL RIVER, FL, 34429 |
| Name | Role | Address |
|---|---|---|
| MEADOWCREST FAMILY PHYSICIANS PA | Manager | 1250 N VANTAGE POINT DRIVE, CRYSTAL RIVER, FL, 34429 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
