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AMARYLLIS MANAGED CARE, LLC

Company Details

Entity Name: AMARYLLIS MANAGED CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 13 Oct 2015 (9 years ago)
Date of dissolution: 29 Mar 2019 (6 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 29 Mar 2019 (6 years ago)
Document Number: L15000173882
FEI/EIN Number 47-5301970
Address: 1897 Palm Beach Lakes Boulevard, #208, WEST PALM BEACH, FL 33409
Mail Address: 1897 Palm Beach Lakes Boulevard, #208, WEST PALM BEACH, FL 33409
ZIP code: 33409
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891166088 2015-10-13 2018-08-08 1897 PALM BEACH LAKES BLVD STE 208, WEST PALM BEACH, FL, 334093508, US 1897 PALM BEACH LAKES BLVD STE 208, WEST PALM BEACH, FL, 33409, US

Contacts

Phone +1 561-814-7505

Authorized person

Name MRS. YASMINE DOMINIQUE
Role MGR
Phone 5613166576

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
LAGUERRE, HELMS Agent 1897 Palm Beach Lakes Boulevard, #208, WEST PALM BEACH, FL 33409

Manager

Name Role Address
SAINTILMAR, TAYANA Manager 1897 Palm Beach Lakes Boulevard, #208 WEST PALM BEACH, FL 33409
DOMINIQUE, YASMINE Manager 1897 Palm Beach Lakes Boulevard, #208 WEST PALM BEACH, FL 33409

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-03-29 No data No data
CHANGE OF PRINCIPAL ADDRESS 2017-04-03 1897 Palm Beach Lakes Boulevard, #208, WEST PALM BEACH, FL 33409 No data
CHANGE OF MAILING ADDRESS 2017-04-03 1897 Palm Beach Lakes Boulevard, #208, WEST PALM BEACH, FL 33409 No data
REGISTERED AGENT ADDRESS CHANGED 2017-04-03 1897 Palm Beach Lakes Boulevard, #208, WEST PALM BEACH, FL 33409 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2019-03-29
ANNUAL REPORT 2018-04-09
ANNUAL REPORT 2017-04-03
ANNUAL REPORT 2016-08-29
Florida Limited Liability 2015-10-13

Date of last update: 20 Jan 2025

Sources: Florida Department of State