| Entity Name: | OPTUMCARE FLORIDA CI, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Jul 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 30 Sep 2024 (4 months ago) |
| Document Number: | M17000006150 |
| FEI/EIN Number | 82-2227280 |
| Address: | 2000 16th Street, JLD/SecGovFin., Denver, CO, 80202, US |
| Mail Address: | 2000 16th Street, JLD/SecGovFin., Denver, CO, 80202, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720506603 | 2017-08-31 | 2019-08-19 | 10051 5TH ST N STE 200, ST PETERSBURG, FL, 337022211, US | 2304 ALOMA AVE STE 100, WINTER PARK, FL, 327923330, US | |||||||||||||||
|
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| Phone | +1 727-828-2335 |
| Phone | +1 407-679-9222 |
Authorized person
| Name | JOHN G. LIETHEN |
| Role | SECRETARY |
| Phone | 9522056262 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND RD., PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| Comstock Troy M.D. | Manager | 2000 16th Street, Denver, CO, 80202 |
| Name | Role | Address |
|---|---|---|
| Lang Heather A | Asst | 2000 16th Street, Denver, CO, 80202 |
| Name | Role | Address |
|---|---|---|
| COMSTOCK TROY M.D. | Chief Executive Officer | 2000 16TH STREET, JLD/SECGOVFIN., DENVER, CO, 80202 |
| Name | Role | Address |
|---|---|---|
| ZIMMERMAN JOSEPH ANTHONYM.D. | Chief Financial Officer | 2000 16TH STREET, JLD/SECGOVFIN., DENVER, CO, 80202 |
| Name | Role | Address |
|---|---|---|
| LIETHEN JOHN GEORGE | Secretary | 2000 16TH STREET, JLD/SECGOVFIN., DENVER, CO, 80202 |
| Name | Role | Address |
|---|---|---|
| ALLEN BARBARA M.D. | CMD | 2000 16TH STREET, JLD/SECGOVFIN., DENVER, CO, 80202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-09-30 | 2000 16th Street, JLD/SecGovFin., Denver, CO 80202 | No data |
| LC AMENDMENT | 2024-09-30 | No data | No data |
| LC AMENDMENT | 2024-05-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-06 | 2000 16th Street, JLD/SecGovFin., Denver, CO 80202 | No data |
| LC AMENDMENT | 2021-10-05 | No data | No data |
| LC AMENDMENT | 2020-04-14 | No data | No data |
| LC AMENDMENT | 2020-04-09 | No data | No data |
| LC AMENDMENT | 2020-03-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-09-06 | 1200 SOUTH PINE ISLAND RD., PLANTATION, FL 33324 | No data |
| LC AMENDMENT | 2019-09-06 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-09-30 |
| LC Amendment | 2024-05-09 |
| ANNUAL REPORT | 2024-05-06 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-21 |
| LC Amendment | 2021-10-05 |
| ANNUAL REPORT | 2021-04-24 |
| AMENDED ANNUAL REPORT | 2020-08-25 |
| ANNUAL REPORT | 2020-05-20 |
| LC Amendment | 2020-04-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
