| Entity Name: | CHT PROVIDER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 Mar 2008 (17 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | L08000025637 |
| Address: | 8701 SW 14 STREET, PEMBROKE PINES, FL, 33025 |
| Mail Address: | 8701 SW 14 STREET, PEMBROKE PINES, FL, 33025 |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982868626 | 2008-07-11 | 2008-07-11 | 8701 SW 14TH ST, PEMBROKE PINES, FL, 330253344, US | 8701 SW 14TH ST, PEMBROKE PINES, FL, 330253344, US | |||||||||||||||
|
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| Phone | +1 954-435-2484 |
| Fax | 9544358379 |
Authorized person
| Name | LUCIE ROBITAILLE |
| Role | SOLE MEMBER |
| Phone | 9544352484 |
Taxonomy
| Taxonomy Code | 261QX0100X - Occupational Medicine Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DENNIS B. FREEMAN, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| ROBITAILLE LUCIE | Manager | 8701 SW 14TH STREET, PEMBROKE PINES, FL, 33025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2008-03-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
