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NEW LIGHT MEDICAL, LLC

Company Details

Entity Name: NEW LIGHT MEDICAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 06 Feb 2017 (8 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: L17000029556
FEI/EIN Number 815307911
Address: 7601 N. FEDERAL HIGHWAY,, BOCA RATON, FL, 33487, US
Mail Address: 1930 HARRISON STREET,, HOLLYWOOD, FL, 33020, US
ZIP code: 33487
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285160895 2017-05-03 2017-12-21 7601 N FEDERAL HWY, SUITE 100B, BOCA RATON, FL, 334871657, US 7601 N FEDERAL HWY, SUITE 100B, BOCA RATON, FL, 334871657, US

Contacts

Phone +1 561-332-5026

Authorized person

Name KRISTINA BEAMAN
Role MANAGER OF ADMINISTRATION
Phone 5613369488

Taxonomy

Taxonomy Code 101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary No
Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
Is Primary Yes

Agent

Name Role Address
NAVON SAMUEL DESQ. Agent 7805 S.W. 6TH COURT, PLANTATION, FL, 33324

Manager

Name Role Address
SINGER KEVIN Manager 1930 HARRISON STREET, SUITE 605, HOLLYWOOD, FL, 33020

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000038504 NEW LIGHT WELLNESS EXPIRED 2018-03-22 2023-12-31 No data 1930 HARRISON STREET, SUITE 605, HOLLYWOOD, FL, 33020

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
LC AMENDMENT 2017-05-04 No data No data
CHANGE OF MAILING ADDRESS 2017-02-14 7601 N. FEDERAL HIGHWAY,, SUITE 100 B, BOCA RATON, FL 33487 No data
CHANGE OF PRINCIPAL ADDRESS 2017-02-10 7601 N. FEDERAL HIGHWAY,, SUITE 100 B, BOCA RATON, FL 33487 No data

Documents

Name Date
ANNUAL REPORT 2018-04-18
LC Amendment 2017-05-04
Florida Limited Liability 2017-02-06

Date of last update: 02 Feb 2025

Sources: Florida Department of State