| Entity Name: | ATRINITY POINT HEALTH CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Sep 2018 (6 years ago) |
| Document Number: | L18000217009 |
| FEI/EIN Number | 83-1921056 |
| Address: | 2677 Forest Hill Blvd, Unit 125, Palm Springs, FL 33406 |
| Mail Address: | 101 Plaza Real S, 918, BOCA RATON, FL 33432 |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316406143 | 2019-03-19 | 2024-01-23 | 2677 FOREST HILL BLVD STE 125, PALM SPRINGS, FL, 334065941, US | 2677 FOREST HILL BLVD STE 125, PALM SPRINGS, FL, 334065941, US | |||||||||||||||||||||||
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| Phone | +1 631-291-2830 |
| Fax | 5618558872 |
| Phone | +1 561-855-8647 |
Authorized person
| Name | VENTRICIA H. VICTOR |
| Role | DNP, FNP-C/OWNER |
| Phone | 5618558647 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025168800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HARRIS-VICTOR, VENTRICIA | Agent | 101 Plaza Real S, 918, BOCA RATON, FL 33432 |
| Name | Role | Address |
|---|---|---|
| Harris-Victor, Ventricia | President | 101 Plaza Real S, 918 Boca Raton, FL 33432 |
| Name | Role | Address |
|---|---|---|
| VICTOR, LAGNY P | Vice President | 101 Plaza Real S, 918 BOCA RATON, FL 33432 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000010276 | CIRCLE OF CARE | EXPIRED | 2019-01-21 | 2024-12-31 | No data | 150 EAST PALMETTO PARK RD, SUITE 800, BOCA RATON, FL, 33432 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-29 | 2677 Forest Hill Blvd, Unit 125, Palm Springs, FL 33406 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-29 | 101 Plaza Real S, 918, BOCA RATON, FL 33432 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-08 | 2677 Forest Hill Blvd, Unit 125, Palm Springs, FL 33406 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-03-20 |
| Florida Limited Liability | 2018-09-12 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
