| Entity Name: | ADDRESS HEALTHCARE OF FLORIDA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Mar 2024 (10 months ago) |
| Document Number: | L24000141242 |
| Address: | 8348 LITTLE RD STE 149, NEW PORT RICHEY, FL 34654 |
| Mail Address: | 8348 LITTLE RD STE 149, NEW PORT RICHEY, FL 34654 |
| ZIP code: | 34654 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447098934 | 2024-07-18 | 2024-07-18 | 8348 LITTLE ROAD, STE 149, NEW PORT RICHEY, FL, 346544919, US | 8348 LITTLE RD STE 149, NEW PORT RICHEY, FL, 346544919, US | |||||||||||||||||||
|
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| Phone | +1 855-232-0644 |
| Fax | 8885460488 |
Authorized person
| Name | JEFFREY WACKSMAN |
| Role | AUTHORIZED OFFICIAL |
| Phone | 8552320644 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| CHESTNUT BUSINESS SERVICES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| MORRISON, CHRISTOPHER | Manager | 8348 LITTLE RD STE 149, NEW PORT RICHEY, FL 34654 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-12-03 | 311 PARK PLACE BOULEVARD, SUITE 300, CLEARWATER, FL 33759 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-27 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
