| Entity Name: | TRANSFORMATIVE MEDICAL CARE OF PALM BEACH COUNTY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 Jul 2016 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L16000133294 |
| FEI/EIN Number | 81-3468303 |
| Address: | 16104 ROBIN WAY, JUPITER, FL, 33478, US |
| Mail Address: | 16104 ROBIN WAY, JUPITER, FL, 33478 |
| ZIP code: | 33478 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265971659 | 2017-02-17 | 2017-02-17 | 16104 ROBIN WAY, JUPITER, FL, 334786334, US | 16104 ROBIN WAY, JUPITER, FL, 334786334, US | |||||||||||||||||
|
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| Phone | +1 561-277-9661 |
Authorized person
| Name | DR. JACQUELINE DENISE NUNEZ |
| Role | OWNER |
| Phone | 5612779661 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME126589 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NUNEZ JACQUELINE D | Agent | 16104 ROBIN WAY, JUPITER, FL, 33478 |
| Name | Role | Address |
|---|---|---|
| NUNEZ JACQUELINE | Manager | 16104 ROBIN WAY, JUPITER, FL, 33478 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-02-23 |
| Florida Limited Liability | 2016-07-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
