| Entity Name: | TRICOCHE INTEGRATED HEALTH INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Aug 2020 (4 years ago) |
| Document Number: | P20000069209 |
| FEI/EIN Number | 85-1450948 |
| Address: | 1855 W Hibiscus Blvd, Melbourne, FL, 32901, US |
| Mail Address: | 1855 W Hibiscus Blvd, Melbourne, FL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649896804 | 2020-06-23 | 2020-12-09 | 1855 W HIBISCUS BLVD, MELBOURNE, FL, 329012622, US | 1855 W HIBISCUS BLVD, MELBOURNE, FL, 329012622, US | |||||||||||||||||||
|
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| Phone | +1 321-802-4521 |
Authorized person
| Name | KRISTEN LEIGH LAURELLA |
| Role | AM |
| Phone | 3218024521 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE OF FLORIDA DEPARTMENT OF HEALTH |
| Number | APRN9303071 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TRICOCHE LEILANY | Agent | 1855 W HIBISCUS BLVD., MELBOURNE, FL, 32901 |
| Name | Role | Address |
|---|---|---|
| TRICOCHE VICTOR | Director | 1855 W Hibiscus Blvd, Melbourne, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-27 | 1855 W Hibiscus Blvd, Melbourne, FL 32901 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-27 | 1855 W Hibiscus Blvd, Melbourne, FL 32901 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-15 |
| Domestic Profit | 2020-08-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
