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NORTHWEST FLORIDA SLEEP, LLC

Company Details

Entity Name: NORTHWEST FLORIDA SLEEP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Mar 2017 (8 years ago)
Document Number: L17000063043
FEI/EIN Number 82-1050418
Address: 310 RACETRACK RD NW, 200, FORT WALTON BEACH, FL, 32547
Mail Address: 310 RACETRACK RD NW, 200, FORT WALTON BEACH, FL, 32547
ZIP code: 32547
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225561707 2017-04-11 2017-04-11 214 LAFITTE CRES, FORT WALTON BEACH, FL, 325473293, US 310 RACETRACK RD NW, SUITE 200, FORT WALTON BEACH, FL, 325471553, US

Contacts

Phone +1 850-889-4550

Authorized person

Name JASON BOOLE
Role PRESIDENT
Phone 8508894550

Taxonomy

Taxonomy Code 261QS1200X - Sleep Disorder Diagnostic Clinic/Center
License Number ME96773
State FL
Is Primary Yes

Agent

Name Role Address
BOOLE JASON Agent 310 RACETRACK RD NW, FORT WALTON BEACH, FL, 32547

Manager

Name Role Address
BOOLE JASON Manager 310 RACETRACK RD NW SUITE 100, FORT WALTON BEACH, FL, 32547

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-01-10
ANNUAL REPORT 2018-01-15
Florida Limited Liability 2017-03-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State