| Entity Name: | FLORIDA MH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Aug 2018 (6 years ago) |
| Document Number: | L18000198130 |
| FEI/EIN Number | 83-1660035 |
| Address: | 7488 COURTYARD RUN, BOCA RATON, FL, 33433 |
| Mail Address: | 7488 COURTYARD RUN, BOCA RATON, FL, 33433 |
| ZIP code: | 33433 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306505805 | 2021-12-12 | 2021-12-12 | 7488 COURTYARD RUN E, BOCA RATON, FL, 334333053, US | 1515 S FEDERAL HWY STE 215, BOCA RATON, FL, 334327404, US | |||||||||||||||||||
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| Phone | +1 561-331-1722 |
Authorized person
| Name | DR. SI ARTHUR CHEN |
| Role | OWNER |
| Phone | 5613311722 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1568976561 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHEN SI | Agent | 1515 South Federal Highway, BOCA RATON, FL, 33432 |
| Name | Role | Address |
|---|---|---|
| CHEN SI | Manager | 7488 COURTYARD RUN, BOCA RATON, FL, 33433 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-01 | 1515 South Federal Highway, Suite 215, BOCA RATON, FL 33432 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-01 |
| Florida Limited Liability | 2018-08-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
