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PREMIER MEDICAL HOUSECALLS, LLC

Company Details

Entity Name: PREMIER MEDICAL HOUSECALLS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 05 Sep 2017 (7 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: L17000187969
FEI/EIN Number 82-2717424
Address: 1825 NW CORPORATE BLVD, 110, BOCA RATON, FL 33431
Mail Address: 1825 NW CORPORATE BLVD, 110, BOCA RATON, FL 33431
ZIP code: 33431
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891206041 2017-10-16 2018-04-10 1825 NW CORPORATE BLVD STE 110, BOCA RATON, FL, 334318554, US 1825 NW CORPORATE BLVD STE 110, BOCA RATON, FL, 334318554, US

Contacts

Phone +1 772-361-3854

Authorized person

Name REBECCA JACQUES
Role OWNER
Phone 7723613854

Taxonomy

Taxonomy Code 363L00000X - Nurse Practitioner
License Number RN9345557
State FL
Is Primary Yes

Agent

Name Role Address
JACQUES, REBECCA Agent 1825 NW CORPORATE BLVD, 110, BOCA RATON, FL 33431

Manager

Name Role Address
JACQUES, REBECCA Manager 1825 NW CORPORATE BLVD, 110 BOCA RATON, FL 33431

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
REGISTERED AGENT ADDRESS CHANGED 2018-04-27 1825 NW CORPORATE BLVD, 110, BOCA RATON, FL 33431 No data

Documents

Name Date
ANNUAL REPORT 2018-04-27
Florida Limited Liability 2017-09-05

Date of last update: 18 Jan 2025

Sources: Florida Department of State