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PHOENIX HEALTH ASCENDENCY LLC - Florida Company Profile

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Company Details

Entity Name: PHOENIX HEALTH ASCENDENCY LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 22 May 2023 (2 years ago)
Document Number: M23000007144
FEI/EIN Number 923648109

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 17011 STATE RD 50 STE 103, CLERMONT, FL, 34711
Mail Address: 17011 STATE RD 50 STE 103, CLERMONT, FL, 34711
ZIP code: 34711
County: Lake
Place of Formation: WYOMING

Key Officers & Management

Name Role Address
Smith Matt Owne 17011 STATE RD 50 STE 103, CLERMONT, FL, 34711
SEPE AL Agent 1801 NE 123 ST STE 314, N MIAMI, FL, 33181

National Provider Identifier

NPI Number:
1336837665
Certification Date:
2023-05-05

Authorized Person:

Name:
HEATHER DIAZ
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
2080A0000X - Pediatric Adolescent Medicine Physician
Is Primary:
No
Selected Taxonomy:
207KA0200X - Allergy Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-02-21
Foreign Limited 2023-05-22

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Date of last update: 02 Jun 2025

Sources: Florida Department of State