| Entity Name: | ATHENS HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Jun 2024 (8 months ago) |
| Document Number: | L24000262457 |
| FEI/EIN Number | 99-3570988 |
| Address: | 2901 STERLING ROAD #308, FT. LAUDERDALE, FL 33312 |
| Mail Address: | 2901 STERLING ROAD #308, FT. LAUDERDALE, FL 33312 |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275376972 | 2024-06-18 | 2024-06-18 | 10401 SW 53RD ST, COOPER CITY, FL, 333285607, US | 2901 STIRLING RD STE 308, FT LAUDERDALE, FL, 333126531, US | |||||||||||||
|
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| Phone | +1 917-387-6601 |
Authorized person
| Name | DR. LUIS ALBERTO PUCHI |
| Role | FOUNDER/CMO |
| Phone | 9173876601 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAMUELS, HARRY M | Agent | 2901 STERLING ROAD #308, FT. LAUDERDALE, FL 33312 |
| Name | Role | Address |
|---|---|---|
| LUIS PUCHI MD | Manager | 10401 SW 53RD ST, COOPER CITY, FL 33328 |
| SARRECHIA, KYLE | Manager | 136 THESSALONIA RD, BREMO BLUFF, VA 23022 |
| CORE, RANDALL | Manager | 511 N 60TH WAY-UNIT EAST, HOLLYWOOD, FL 33024 |
| DENNEN, STUART | Manager | 10105 N 25TH AVENUE, HOLLYWOOD, FL 33024 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000143201 | QWITS | ACTIVE | 2024-11-23 | 2029-12-31 | No data | 2901 STIRLING ROAD, 308, FT LAUDERDALE, FL, 33312 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-11 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
