| Entity Name: | FLORIDA MEDICAL STAFFING HOME CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Sep 2024 (5 months ago) |
| Document Number: | L24000388617 |
| Mail Address: | 1800 PEMBROOK DR, STE 300, ORLANDO, FL, 32810, US |
| Address: | 1800 PEMBROOK DR, STE 363, ORLANDO, FL, 32810, US |
| ZIP code: | 32810 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427876903 | 2024-10-02 | 2024-10-25 | 1800 PEMBROOK DR STE 363, ORLANDO, FL, 328106928, US | 1800 PEMBROOK DR STE 363, ORLANDO, FL, 328106928, US | |||||||||||||
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| Phone | +1 321-437-5894 |
Authorized person
| Name | JACKENSON CLERISIER |
| Role | OWNER |
| Phone | 3214375894 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOSEPH SHERLY | Agent | 1800 PEMBROOK DR, ORLANDO, FL, 32810 |
| Name | Role | Address |
|---|---|---|
| JOSEPH SHERLY | Authorized Representative | 1800 PEMBROOK DR, ORLANDO, FL, 32810 |
| CLERISIER JACKENSON | Authorized Representative | 1800 PEMBROOK DR, ORLANDO, FL, 32810 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000137103 | FMS HOME CARE | ACTIVE | 2024-11-08 | 2029-12-31 | No data | 1800 PEMBROOK DR, STE 363, ORLANDO, FL, 32810 |
| G24000122409 | FMS HOME CARE | ACTIVE | 2024-10-01 | 2029-12-31 | No data | 1800 PEMBROOK DR, STE 363, ORLANDO, FL, 32810 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-09 | 1800 PEMBROOK DR, STE 363, ORLANDO, FL 32810 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-09 | 1800 PEMBROOK DR, STE 363, ORLANDO, FL 32810 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-09-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
