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DELRAY BEACH OUTPATIENT SERVICES LLC

Company Details

Entity Name: DELRAY BEACH OUTPATIENT SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 15 Feb 2016 (9 years ago)
Date of dissolution: 22 Sep 2017 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (7 years ago)
Document Number: L16000031984
Address: 2512 NORTH FEDERAL HIGHWAY, 105, DELRAY BEACH, FL, 33483
Mail Address: 2512 NORTH FEDERAL HIGHWAY, 105, DELRAY BEACH, FL, 33483
ZIP code: 33483
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598124851 2016-02-15 2016-04-14 2512 N FEDERAL HWY, SUITE 104, DELRAY BEACH, FL, 334836147, US 2512 N FEDERAL HWY, SUITE 104, DELRAY BEACH, FL, 334836147, US

Contacts

Phone +1 561-303-2291

Authorized person

Name JOHN RICHARDS
Role DIRECTOR OF ACCOUNT MANAGEMENT
Phone 5614139860

Taxonomy

Taxonomy Code 207RA0401X - Addiction Medicine (Internal Medicine) Physician
Is Primary Yes

Agent

Name Role Address
MCCROSKEY ANN ELIZABETH Agent 2345 ASH DRIVE, NAVARRE, FL, 32566

Manager

Name Role Address
JARVIS JANE ANN Manager 4840 NORTHLAND DR, ATLANTA, GA, 30342

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data

Documents

Name Date
Florida Limited Liability 2016-02-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State