| Entity Name: | PREMIER HEALTH SUPPLIES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Mar 2018 (7 years ago) |
| Document Number: | L18000068398 |
| FEI/EIN Number | 82-4854420 |
| Address: | 5030 CHAMPION BLVD, 420, BOCA RATON, FL 33496 |
| Mail Address: | 5030 CHAMPION BLVD, SUITE 420, BOCA RATON, FL 33496 |
| ZIP code: | 33496 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710484043 | 2018-04-12 | 2020-01-23 | 2263 NW 2ND AVE STE 206, BOCA RATON, FL, 334317470, US | 2263 NW 2ND AVE STE 206, BOCA RATON, FL, 334317470, US | |||||||||||||||
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| Phone | +1 561-614-5135 |
| Fax | 5614057788 |
Authorized person
| Name | JENNIFER PARKE |
| Role | OWNER |
| Phone | 5616145135 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PARKE, JENNIFER J | Agent | 665 SE 10TH STREET, SUITE 201, DEERFIELD BEACH, FL 33441 |
| Name | Role | Address |
|---|---|---|
| PARKE, JENNIFER J | Authorized Representative | 665 SE 10TH STREET, SUITE 201 DEERFIELD BEACH, FL 33441 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-08 | 5030 CHAMPION BLVD, 420, BOCA RATON, FL 33496 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-08 | 5030 CHAMPION BLVD, 420, BOCA RATON, FL 33496 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-08 | 665 SE 10TH STREET, SUITE 201, DEERFIELD BEACH, FL 33441 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-02-09 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-10 |
| Florida Limited Liability | 2018-03-15 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
