| Entity Name: | MISSION CONNECTION HEALTHCARE FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Apr 2023 (2 years ago) |
| Document Number: | M23000004602 |
| FEI/EIN Number | 92-3359250 |
| Address: | 7726 WINEGARD RD., 2ND FLOOR, ORLANDO, FL 32809 |
| Mail Address: | 7726 WINEGARD RD., 2ND FLOOR, ORLANDO, FL 32809 |
| ZIP code: | 32809 |
| County: | Orange |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780370478 | 2023-04-14 | 2023-06-08 | 30310 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA, 926751576, US | 7726 WINEGARD RD FL 2ND, ORLANDO, FL, 328097147, US | |||||||||||||||
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| Phone | +1 949-301-2863 |
| Phone | +1 407-305-3764 |
Authorized person
| Name | JEFFREY FARBMAN |
| Role | DIRECTOR OF REVENUE CYCLE |
| Phone | 9494249921 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Peña, ASHLEY | Manager | 7726 WINEGARD RD., 2ND FLOOR, ORLANDO, FL 32809 |
| MARA, WILLiaM John | Manager | 7726 WINEGARD RD., 2ND FLOOR, ORLANDO, FL 32809 |
| Name | Role | Address |
|---|---|---|
| Robbins, Jeffrey | General Counsel | 7726 WINEGARD RD., 2ND FLOOR, ORLANDO, FL 32809 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-12 |
| ANNUAL REPORT | 2024-04-19 |
| Foreign Limited | 2023-04-07 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
