Entity Name: | WESTERN HEALTH ACO LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 13 Jun 2024 (8 months ago) |
Document Number: | L24000269020 |
Address: | 1108 BELL SHOALS ROAD, BRANDON, FL 33511 |
Mail Address: | 1108 BELL SHOALS ROAD, BRANDON, FL 33511 |
ZIP code: | 33511 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1144065095 | 2024-07-01 | 2024-07-01 | 1108 BELL SHOALS RD, BRANDON, FL, 335118813, US | 1108 BELL SHOALS RD, BRANDON, FL, 335118813, US | |||||||||||||
|
Phone | +1 813-906-0294 |
Authorized person
Name | ROGER BROWN |
Role | DIRECTOR |
Phone | 5613026086 |
Taxonomy
Taxonomy Code | 302R00000X - Health Maintenance Organization |
Is Primary | Yes |
Name | Role |
---|---|
KAREN B. SCHAPIRA, PLLC | Agent |
Name | Role | Address |
---|---|---|
WESTERN HEALTH HOLDINGS LLC | Authorized Member | 1108 BELL SHOALS ROAD, BRANDON, FL 33511 |
Name | Date |
---|---|
Florida Limited Liability | 2024-06-13 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State