| Entity Name: | NEW FOUND LIFE OF DELRAY BEACH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 Dec 2014 (10 years ago) |
| Date of dissolution: | 18 Jul 2016 (9 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 18 Jul 2016 (9 years ago) |
| Document Number: | L15000004714 |
| FEI/EIN Number | 47-2623109 |
| Address: | 210 NE 6TH AVE SUITES 103-104, DELRAY BEACH, FL, 33483 |
| Mail Address: | 5273 WASHINGTON RD, DELRAY BEACH, FL, 33484 |
| ZIP code: | 33483 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659794766 | 2014-01-24 | 2014-01-24 | 210 NE 6TH AVE, 103-104, DELRAY BEACH, FL, 334835540, US | 223 NE 5TH AVE, SUITE 103-104, DELRAY BEACH, FL, 334835530, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-270-2361 |
| Fax | 5612702081 |
Authorized person
| Name | ANGELA IACULLO |
| Role | BIRECTOR OF BILLING |
| Phone | 5612702361 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 800027026 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AGENCY FOR HEALTH CARE ADMINISTRATION |
| Number | 800027026 |
| State | FL |
| Issuer | CLIA |
| Number | 10D2035690 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WATT MICHAEL | Agent | 5273 WASHINGTON RD, DELRAY BEACH, FL, 33484 |
| Name | Role | Address |
|---|---|---|
| WATT MICHAEL | Authorized Member | 5273 WASHINGTON RD, DELRAY BEACH, FL, 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2016-07-18 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2016-07-18 |
| ANNUAL REPORT | 2015-04-30 |
| Florida Limited Liability | 2014-12-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
