Entity Name: | PACIFICA CARE OF SUNCOAST, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 24 Sep 2024 (4 months ago) |
Document Number: | L24000416321 |
Address: | 24451 SANDHILL BLVD UNIT B, PUNTA GORDA, FL 33983 |
Mail Address: | 13121ATLANTIC BOULEVARD STE 100, JACKSONVILLE, FL 32225 |
ZIP code: | 33983 |
County: | Charlotte |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1871310532 | 2024-09-24 | 2024-09-24 | 13121 ATLANTIC BLVD STE 100, JACKSONVILLE, FL, 322250102, US | 24451 SANDHILL BLVD UNIT B, PUNTA GORDA, FL, 339835214, US | |||||||||||||||
|
Phone | +1 904-221-2232 |
Phone | +1 941-347-8447 |
Authorized person
Name | DONNA TREESH |
Role | OWNER |
Phone | 9042212232 |
Taxonomy
Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
Is Primary | Yes |
Name | Role |
---|---|
PACIFICA CARE PLLC | Agent |
Name | Role |
---|---|
PACIFICA CARE PLLC | Manager |
Name | Date |
---|---|
Florida Limited Liability | 2024-09-24 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State