| Entity Name: | ARCHETYPE HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Apr 2024 (10 months ago) |
| Document Number: | L24000161313 |
| Address: | 2240 QUAIL ROOST DR, WESTON, FL 33327 |
| Mail Address: | 2240 QUAIL ROOST DR, WESTON, FL 33327 |
| ZIP code: | 33327 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023840337 | 2024-08-15 | 2024-08-15 | PO BOX 266756, WESTON, FL, 333266756, US | 7663 W SAMPLE RD, CORAL SPRINGS, FL, 330654718, US | |||||||||||||
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| Phone | +1 954-906-3095 |
Authorized person
| Name | DR. ARNALDO PEREZ |
| Role | PRESIDENT |
| Phone | 9549063095 |
Taxonomy
| Taxonomy Code | 207K00000X - Allergy & Immunology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ, ARNALDO E | Agent | 2240 QUAIL ROOST DR, WESTON, FL 33327 |
| Name | Role | Address |
|---|---|---|
| PEREZ, ARNALDO E | Manager | 2240 QUAIL ROOST DR, WESTON, FL 33327 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000101064 | ARCHETYPE ALLERGY & ASTHMA | ACTIVE | 2024-08-26 | 2029-12-31 | No data | PO BOX 266756, WESTON, FL, 33326 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-04-04 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
