| Entity Name: | TRINOVA HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Jul 2024 (6 months ago) |
| Document Number: | L24000335078 |
| FEI/EIN Number | 99-4571990 |
| Address: | 4300 BAYOU BLVD, SUITE 4, PENSACOLA, FL 32503 |
| Mail Address: | 4300 BAYOU BLVD, SUITE 4, PENSACOLA, FL 32503 |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912733841 | 2024-09-09 | 2024-09-09 | 2114 CREIGHTON RD, PENSACOLA, FL, 325047218, US | 2114 CREIGHTON RD, PENSACOLA, FL, 325047218, US | |||||||||||||||
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| Phone | +1 850-332-3740 |
| Fax | 8504294813 |
Authorized person
| Name | MARK RYAN |
| Role | PHYSICIAN |
| Phone | 8503323740 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ESCOBAR, MARIA A | Agent | 4300 BAYOU BLVD, SUITE 4, PENSACOLA, FL 32503 |
| Name | Role | Address |
|---|---|---|
| ESCOBAR, MARIA A | Authorized Member | 4300 BAYOU BLVD, SUITE A, PENSACOLA, FL 32503 |
| RYAN, MARK M | Authorized Member | 4300 BAYOU BLVD, SUITE A, PENSACOLA, FL 32503 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000145448 | TRINOVA MEDICAL | ACTIVE | 2024-12-02 | 2029-12-31 | No data | 2114 CREIGHTON RD, PENSACOLA, FL, 32503 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-30 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
