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FLORIDA MOBILE HEALTH, PLLC - Florida Company Profile

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Company Details

Entity Name: FLORIDA MOBILE HEALTH, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Nov 2024 (9 months ago)
Document Number: L24000474368
FEI/EIN Number 33-2006266
Address: 7879 Goldberger Lane, The Villages, FL, 34134, US
Mail Address: 7879 Goldberger Lane, The Villages, FL, 34134, US
ZIP code: 34134
City: Bonita Springs
County: Lee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LICAUSI MICHELE R Manager 7879 Goldberger lane, The Villages, FL, 34134
LI CAUSI MICHELE R Agent 7879 Goldberger lane, The Villages, FL, 34134

National Provider Identifier

NPI Number:
1386452530
Certification Date:
2024-12-19

Authorized Person:

Name:
MICHELE LI CAUSI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-18 7879 Goldberger Lane, The Villages, FL 34134 -
CHANGE OF MAILING ADDRESS 2025-01-18 7879 Goldberger Lane, The Villages, FL 34134 -
REGISTERED AGENT ADDRESS CHANGED 2025-01-18 7879 Goldberger lane, The Villages, FL 34134 -

Documents

Name Date
ANNUAL REPORT 2025-01-18
Florida Limited Liability 2024-11-08

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Date of last update: 03 Jul 2025

Sources: Florida Department of State