| Entity Name: | HERITAGE PHYSICIANS SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 02 Feb 2018 (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: | L18000030812 |
| Address: | 600 HERITAGE DRIVE, SUITE 130B, JUPITER, FL 33458 |
| Mail Address: | 600 HERITAGE DRIVE, SUITE 130B, JUPITER, FL 33458 |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245733385 | 2018-03-15 | 2018-03-15 | PO BOX 780, JUPITER, FL, 334680780, US | 600 HERITAGE DR STE 130B, JUPITER, FL, 334583000, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 561-701-3896 |
Authorized person
| Name | MICHAEL J KENNY |
| Role | OWNER |
| Phone | 8888288251 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH13843 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RA0401X - Addiction Medicine (Internal Medicine) Physician |
| License Number | ME57874 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| License Number | PA9104027 |
| State | FL |
| Is Primary | No |
| Name | Role |
|---|---|
| LEGALCORP SOLUTIONS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| KENNY, MICHAEL J | Authorized Member | 600 HERITAGE DRIVE, SUITE 130B, JUPITER, FL 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2018-02-02 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
