| Entity Name: | OMEGA INTEGRATIVE CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Aug 2024 (5 months ago) |
| Document Number: | L24000373696 |
| FEI/EIN Number | 99-4778517 |
| Address: | 11220 HESS WAY, OXFORD, FL 34484 |
| Mail Address: | 11220 HESS WAY, OXFORD, FL 34484 |
| ZIP code: | 34484 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780403964 | 2024-10-07 | 2024-10-07 | 11220 HESS WAY, OXFORD, FL, 344843474, US | 910 OLD CAMP RD STE 112, THE VILLAGES, FL, 321625605, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 352-572-9016 |
| Phone | +1 352-240-1471 |
Authorized person
| Name | SARAH TATE |
| Role | OWNER |
| Phone | 3525729016 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TATE, SARAH J | Agent | 11220 HESS WAY, OXFORD, FL 34484 |
| Name | Role | Address |
|---|---|---|
| TATE, SARAH J | Manager | 11220 HESS WAY, OXFORD, FL 34484 |
| HODGES, VICKIE J | Manager | 8505 SE 162ND PL, SUMMERFIELD, FL 34491 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-26 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
