| Entity Name: | BROOKS HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 May 2014 (11 years ago) |
| Date of dissolution: | 09 Mar 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 09 Mar 2016 (9 years ago) |
| Document Number: | L14000076579 |
| FEI/EIN Number | 32-0446024 |
| Address: | 1717 NW 23RD AVE., UNIT 1A, GAINESVILLE, FL, 32605 |
| Mail Address: | 1717 NW 23RD AVE., UNIT 1A, GAINESVILLE, FL, 32605 |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720489768 | 2014-09-09 | 2015-08-24 | PO BOX 3123, ST AUGUSTINE, FL, 320853123, US | 6400 W NEWBERRY RD, STE 104, GAINESVILLE, FL, 326056605, US | |||||||||||||||||||||||||||||||
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| Phone | +1 904-824-4990 |
| Phone | +1 352-333-5918 |
Authorized person
| Name | CHRISTOPHER K BROOKS |
| Role | MANAGING OWNER |
| Phone | 3523335918 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME48769 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013216400 |
| State | FL |
| Issuer | FL BLUE |
| Number | 007ZU |
| State | FL |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BROOKS CHRISTOPHER K | Authorized Member | 1717 NW 23RD AVE; UNIT 1A, GAINESVILLE, FL, 32605 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-02 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| VOLUNTARY DISSOLUTION | 2016-03-09 | No data | No data |
| LC NAME CHANGE | 2014-10-24 | BROOKS HEALTH SERVICES, LLC | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-03-09 |
| ANNUAL REPORT | 2015-01-07 |
| LC Name Change | 2014-10-24 |
| Florida Limited Liability | 2014-05-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
