| Entity Name: | MARCELLA SCACCIA PHYSICIAN PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Apr 2011 (14 years ago) |
| Branch of: | MARCELLA SCACCIA PHYSICIAN PLLC, NEW YORK (Company Number 4016471) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Jan 2017 (8 years ago) |
| Document Number: | M11000001783 |
| FEI/EIN Number | 900692016 |
| Address: | 2937 S Atlantic Ave, DAYTONA BEACH SHORES, FL, 32118, US |
| Mail Address: | 2937 S Atlantic Ave, DAYTONA BEACH SHORES, FL, 32118, US |
| ZIP code: | 32118 |
| County: | Volusia |
| Place of Formation: | NEW YORK |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043507338 | 2011-07-07 | 2011-07-07 | 2922 SEA OATS CIR, DAYTONA BEACH SHORES, FL, 321185938, US | 2922 SEA OATS CIR, DAYTONA BEACH SHORES, FL, 321185938, US | |||||||||||||||||||
|
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| Phone | +1 386-871-0675 |
| Fax | 3867679085 |
Authorized person
| Name | MARCELLA SCACCIA |
| Role | CEO |
| Phone | 3868710675 |
Taxonomy
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| License Number | 109319 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Nammour Henri | Agent | 2937 S Atlantic Ave Apt 602, DAYTONA BEACH SHORES, FL, 32118 |
| Name | Role | Address |
|---|---|---|
| SCACCIA MARCELLA | Manager | 2937 S Atlantic Ave, DAYTONA BEACH SHORES, FL, 32118 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000035513 | TOTAL WELLNESS & HEALTHY AGING FOUNDATION | EXPIRED | 2011-04-11 | 2016-12-31 | No data | 2922 SEA OATS CIRCLE, DAYTONA BEACH SHORES, FL, 32118 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-18 | 2937 S Atlantic Ave Apt 602, DAYTONA BEACH SHORES, FL 32118 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-04 | 2937 S Atlantic Ave, Apt 602, DAYTONA BEACH SHORES, FL 32118 | No data |
| REINSTATEMENT | 2017-01-04 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-04 | 2937 S Atlantic Ave, Apt 602, DAYTONA BEACH SHORES, FL 32118 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-04 | Nammour, Henri | No data |
| REVOKED FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2014-10-04 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-03 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-27 |
| ANNUAL REPORT | 2020-01-26 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-18 |
| REINSTATEMENT | 2017-01-04 |
| ANNUAL REPORT | 2015-04-26 |
| REINSTATEMENT | 2014-10-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
