| Entity Name: | LUZCARE MEDICAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 25 Apr 2018 (7 years ago) |
| Date of dissolution: | 12 May 2024 (8 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 May 2024 (8 months ago) |
| Document Number: | L18000104194 |
| FEI/EIN Number | 83-0614912 |
| Address: | 175 TONNEY PENA DR, SUITE 201, JUPITER, FL 33458 |
| Mail Address: | 175 TONEY PENA DR, 201, JUPITER, FL 33458 |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477185189 | 2020-02-11 | 2020-07-09 | 175 TONEY PENNA DR STE 201, JUPITER, FL, 334585747, US | 175 TONEY PENNA DR STE 201, JUPITER, FL, 334585747, US | |||||||||||||||||||
|
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| Phone | +1 954-612-6228 |
Authorized person
| Name | DR. DANIELLE LUCIEN |
| Role | OWNER |
| Phone | 9546126228 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CAQH |
| Number | 13869430 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Lucien, Danielle | Agent | 175 TONEY PENA DR, 201, JUPITER, FL 33458 |
| Name | Role | Address |
|---|---|---|
| LUCIEN, DANIELLE | President | 175 TONEY PENNA DR, SUITE 201, JUPITER, FL 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-05-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-05 | Lucien, Danielle | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-12 | 175 TONNEY PENA DR, SUITE 201, JUPITER, FL 33458 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-12 | 175 TONEY PENA DR, 201, JUPITER, FL 33458 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-31 | 175 TONNEY PENA DR, SUITE 201, JUPITER, FL 33458 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-05-12 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-03-31 |
| ANNUAL REPORT | 2019-02-21 |
| Florida Limited Liability | 2018-04-25 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
