| Entity Name: | SOUTH HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Jun 2024 (8 months ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 10 Oct 2024 (4 months ago) |
| Document Number: | L24000262560 |
| FEI/EIN Number | 99-3492834 |
| Address: | 6400 Davis Blvd Suite 103, NAPLES, FL 34104 |
| Mail Address: | 6400 Davis Blvd Suite 103, NAPLES, FL 34104 |
| ZIP code: | 34104 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235974916 | 2024-06-26 | 2024-10-10 | 5038 CORONADO PKWY STE 200, NAPLES, FL, 341166950, US | 6400 DAVIS BLVD STE 103, NAPLES, FL, 341045321, US | |||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-418-0580 |
| Fax | 3054020941 |
Authorized person
| Name | ERWING XAVIER MARTINEZ |
| Role | OWNER |
| Phone | 3054180580 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Taxonomy Code | 2080P0205X - Pediatric Endocrinology Physician |
| Is Primary | Yes |
| Taxonomy Code | 2080P0214X - Pediatric Pulmonology Physician |
| Is Primary | No |
| Taxonomy Code | 2083B0002X - Obesity Medicine (Preventive Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, ERWING | Agent | 6400 DAVIS BLVD, STE 103, NAPLES, FL 34104 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, ERWING | Manager | 6400 Davis Blvd Suite 103, NAPLES, FL 34104 |
| ALVAREZ, EVELYN | Manager | 6400 Davis Blvd Suite 103, NAPLES, FL 34104 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-10-24 | 6400 DAVIS BLVD, STE 103, NAPLES, FL 34104 | No data |
| LC STMNT OF RA/RO CHG | 2024-10-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-10 | 6400 Davis Blvd Suite 103, NAPLES, FL 34104 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-10 | 6400 Davis Blvd Suite 103, NAPLES, FL 34104 | No data |
| Name | Date |
|---|---|
| CORLCRACHG | 2024-10-10 |
| Florida Limited Liability | 2024-06-10 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
