| Entity Name: | DELRAY MEDICAL PHYSICIAN SERVICES, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Apr 2014 (11 years ago) |
| Document Number: | L14000066751 |
| FEI/EIN Number | 46-5480088 |
| Address: | 14201 Dallas Pkwy, DALLAS, TX 75254 |
| Mail Address: | 14201 Dallas Pkwy, DALLAS, TX 75254 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205246188 | 2014-05-01 | 2016-05-26 | 5352 LINTON BLVD, DELRAY BEACH, FL, 334846514, US | 5352 LINTON BLVD, DELRAY BEACH, FL, 334846514, US | |||||||||||||||
|
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| Phone | +1 561-637-5354 |
| Fax | 5616375131 |
Authorized person
| Name | MS. MARSHA D POWERS |
| Role | SVP REGIONAL OPERATIONS, TENET |
| Phone | 9545093671 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| MACK, KRISTINA A | SEC of MGRM | 14201 Dallas Pkwy, DALLAS, TX 75254 |
| Name | Role |
|---|---|
| DELRAY MEDICAL CENTER, INC. | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-25 | 14201 Dallas Pkwy, DALLAS, TX 75254 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-25 | 14201 Dallas Pkwy, DALLAS, TX 75254 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-05-08 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-04-08 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
