| Entity Name: | FOUNDATION MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FOUNDATION MEDICAL CENTER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 28 Sep 2017 (8 years ago) |
| Date of dissolution: | 23 Sep 2022 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (3 years ago) |
| Document Number: | L17000201355 |
| FEI/EIN Number |
822928898
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 10790 Haydn Drive, Boca Raton, FL, 33498, US |
| Address: | 10790 Haydn Drive, SUITE 101, Boca Raton, FL, 33498, US |
| ZIP code: | 33498 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124538996 | 2017-10-06 | 2019-11-17 | 3000 NW 101ST LN STE 101, CORAL SPRINGS, FL, 330653930, US | 3000 NW 101ST LN STE 101, CORAL SPRINGS, FL, 33065, US | |||||||||||||||||||||||||||
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| Phone | +1 954-272-4072 |
| Fax | 9542559553 |
| Phone | +1 561-674-2696 |
| Fax | 5613707899 |
Authorized person
| Name | MR. EVAN M KAISER |
| Role | MANAGER |
| Phone | 9542724072 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Prisco Jude | Manager | 10790 Haydn Drive, Boca Raton, FL, 33498 |
| Prisco Salvatore | Agent | 10790 Haydn Drive, Boca Raton, FL, 33498 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-12 | 10790 Haydn Drive, SUITE 101, Boca Raton, FL 33498 | - |
| CHANGE OF MAILING ADDRESS | 2021-01-12 | 10790 Haydn Drive, SUITE 101, Boca Raton, FL 33498 | - |
| REGISTERED AGENT NAME CHANGED | 2021-01-12 | Prisco, Salvatore | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-12 | 10790 Haydn Drive, Boca Raton, FL 33498 | - |
| LC AMENDMENT | 2020-07-21 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-09-18 |
| LC Amendment | 2020-07-21 |
| ANNUAL REPORT | 2019-01-30 |
| ANNUAL REPORT | 2018-03-21 |
| Florida Limited Liability | 2017-09-28 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
