| Entity Name: | HEALTH LINK GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jul 2024 (7 months ago) |
| Document Number: | L24000300325 |
| Address: | 4615 ALTON RD, MIAMI BEACH, FL, 33140 |
| Mail Address: | 4615 ALTON RD, MIAMI BEACH, FL, 33140 |
| ZIP code: | 33140 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609613322 | 2024-07-10 | 2024-07-10 | 4615 ALTON RD, MIAMI BEACH, FL, 331402806, US | 4615 ALTON RD, MIAMI BEACH, FL, 331402806, US | |||||||||||||||||
|
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| Phone | +1 410-977-3009 |
Authorized person
| Name | LENA NIKOLNIKOV |
| Role | MGR |
| Phone | 4109773009 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | Yes |
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| NIKOLNIKOV YELENA | Agent | 4615 ALTON RD, MIAMI BEACH, FL, 33140 |
| Name | Role | Address |
|---|---|---|
| NIKOLNIKOV YELENA | Manager | 4615 ALTON RD, MIAMI BEACH, FL, 33140 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
