| Entity Name: | COLLABORATIVE MEDICAL HOME SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Jun 2016 (9 years ago) |
| Document Number: | L16000122503 |
| FEI/EIN Number | 81-3125073 |
| Address: | 3744 Cypress Lake Drive, Lake Worth, FL, 33467, US |
| Mail Address: | 3744 Cypress Lake Drive, Lake Worth, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194278192 | 2016-07-27 | 2017-04-25 | 3744 CYPRESS LAKE DR, LAKE WORTH, FL, 334672203, US | 3744 CYPRESS LAKE DR, LAKE WORTH, FL, 334672203, US | |||||||||||||||
|
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| Phone | +1 561-907-7413 |
Authorized person
| Name | DIANA O'CONNOR |
| Role | PRESIDENT |
| Phone | 5616322898 |
Taxonomy
| Taxonomy Code | 363LG0600X - Gerontology Nurse Practitioner |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| O'Connor Diana A | Agent | 3744 Cypress Lake Drive, Lake Worth, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| O'Connor Diana | Manager | 3744 Cypress Lake Drive, Lake Worth, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-07-10 | 3744 Cypress Lake Drive, Lake Worth, FL 33467 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-30 | 3744 Cypress Lake Drive, Lake Worth, FL 33467 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-02-26 | 3744 Cypress Lake Drive, Lake Worth, FL 33467 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-22 | O'Connor, Diana A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-07-10 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-03-20 |
| ANNUAL REPORT | 2020-05-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-02-26 |
| ANNUAL REPORT | 2017-03-22 |
| Florida Limited Liability | 2016-06-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
