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PACIFICA CARE OF SUNCOAST, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
PACIFICA CARE PLLC Agent

Manager

Name Role
PACIFICA CARE PLLC Manager

Documents

Name Date
Florida Limited Liability 2024-09-24

Date of last update: 06 Jan 2025

Sources: Florida Department of State