| Entity Name: | BELLABREY MEDICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 May 2009 (16 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | L09000050499 |
| FEI/EIN Number | 270234676 |
| Address: | 623 RAPID FALLS DR., BRANDON, FL, 33511, US |
| Mail Address: | 623 RAPID FALLS DR., BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487880878 | 2009-05-31 | 2009-05-31 | 623 RAPID FALLS DR, BRANDON, FL, 335117504, US | 623 RAPID FALLS DR, BRANDON, FL, 335117504, US | |||||||||||||||||||||||
|
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| Phone | +1 813-220-6241 |
Authorized person
| Name | MRS. AMY L. WILLITZER |
| Role | OWNER |
| Phone | 8132206241 |
Taxonomy
| Taxonomy Code | 313M00000X - Nursing Facility/Intermediate Care Facility |
| License Number | L09000050499 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 307330100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WILLITZER AMY L | Agent | 623 RAPID FALLS DR., BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| WILLITZER AMY L | Managing Member | 623 RAPID FALLS DR., BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-24 |
| Florida Limited Liability | 2009-05-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
