| Entity Name: | SLEEP EZ FAMILY AND SLEEP HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Jun 2013 (12 years ago) |
| Document Number: | L13000084407 |
| FEI/EIN Number | 37-1738228 |
| Address: | 13241 Bartram Park Blvd, 2009, Jacksonville, FL 32258 |
| Mail Address: | 13241 Bartram Park Blvd, 2009, Jacksonville, FL 32258 |
| ZIP code: | 32258 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306370283 | 2017-04-17 | 2019-02-26 | 13241 BARTRAM PARK BLVD UNIT 2009, JACKSONVILLE, FL, 322585223, US | 13241 BARTRAM PARK BLVD UNIT 2009, JACKSONVILLE, FL, 322585223, US | |||||||||||||||||||||
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| Phone | +1 833-417-5337 |
| Fax | 9049304222 |
Authorized person
| Name | WENDY C LU |
| Role | CREDENTIALING MANAGER |
| Phone | 9042212535 |
Taxonomy
| Taxonomy Code | 261QS1200X - Sleep Disorder Diagnostic Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | JK300A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AHMED, FARID | Agent | 13241 Bartram Park Blvd, 2009, Jacksonville, FL 32258 |
| Name | Role | Address |
|---|---|---|
| AHMED, FARID | Authorized Member | 13241 Bartram Park Blvd, 2009 Jacksonville, FL 32258 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-06 | 13241 Bartram Park Blvd, 2009, Jacksonville, FL 32258 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-06 | 13241 Bartram Park Blvd, 2009, Jacksonville, FL 32258 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-06 | 13241 Bartram Park Blvd, 2009, Jacksonville, FL 32258 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-03-08 |
| ANNUAL REPORT | 2016-01-23 |
| ANNUAL REPORT | 2015-02-26 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
