| Entity Name: | HEALTHY ICC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Oct 2024 (3 months ago) |
| Document Number: | L24000463084 |
| Mail Address: | 483 N. SEMORAN BLVD, SUITE 205, WINTER PARK, FL, 32792, US |
| Address: | 483 N. SEMORAN BLVD, SUITE 103, WINTER PARK, FL, 32792, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588486302 | 2024-10-31 | 2024-10-31 | 483 N SEMORAN BLVD STE 205, WINTER PARK, FL, 327923800, US | 483 N SEMORAN BLVD STE 103, WINTER PARK, FL, 327923800, US | |||||||||||||||||
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| Phone | +1 407-215-6320 |
| Phone | +1 800-478-2478 |
| Fax | 3212740322 |
Authorized person
| Name | SANDEEP BAJAJ |
| Role | PRESIDENT |
| Phone | 4072156320 |
Taxonomy
| Taxonomy Code | 261QE0002X - Emergency Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAINI VIKRAM J | Agent | 483 N. SEMORAN BLVD, ORLANDO, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| HEALTHCARE SERVICES OF FLORIDA | Manager | 483 N. SEMORAN BLVD, WINTER PARK, FL, 32792 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-10-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
