| Entity Name: | CUSTOMIZED HEALTHCARE SOLUTIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Dec 2013 (11 years ago) |
| Document Number: | L13000176821 |
| FEI/EIN Number | 46-4455659 |
| Address: | 2501 West Main Street, Leesburg, FL, 34748, US |
| Mail Address: | 6053 SPINNAKER LOOP, LADY LAKE, FL, 32159, US |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750772372 | 2015-02-18 | 2015-02-18 | 6053 SPINNAKER LOOP, LADY LAKE, FL, 321595922, US | 1509 SOUTH ST STE 1, LEESBURG, FL, 347486664, US | |||||||||||||||||
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| Phone | +1 352-552-2181 |
Authorized person
| Name | DR. KEITH BOSTAPH |
| Role | OWNER |
| Phone | 3525522181 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8400 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOSTAPH KEITH L | Agent | 6053 SPINNAKER LOOP, LADY LAKE, FL, 32159 |
| Name | Role | Address |
|---|---|---|
| BOSTAPH KEITH L | Manager | 6053 SPINNAKER LOOP, LADY LAKE, FL, 32159 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-24 | 2501 West Main Street, Suite 108, Leesburg, FL 34748 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-08-27 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
