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REVAMED HEALTHCARE PARTNERS, LLC

Company Details

Entity Name: REVAMED HEALTHCARE PARTNERS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 02 Nov 2018 (6 years ago)
Document Number: L18000257605
FEI/EIN Number 83-2554736
Address: 6056 BOYNTON BEACH BLVD, SUITE 115, BOYNTON BEACH, FL 33472
Mail Address: 6056 BOYNTON BEACH BLVD, SUITE 115, BOYNTON BEACH, FL 33472
ZIP code: 33472
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720751142 2021-07-30 2021-07-30 8132 OKEECHOBEE BLVD STE B, WEST PALM BEACH, FL, 334112000, US 6056 BOYNTON BEACH BLVD STE 115, BOYNTON BEACH, FL, 334373500, US

Contacts

Phone +1 561-432-2164
Fax 5614322164
Phone +1 561-708-1760

Authorized person

Name MELISSA STIELER
Role CREDENTIALER
Phone 5614322164

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
REVAMED HEALTHCARE PARTNERS, LLC 401(K) PLAN 2023 832554736 2024-10-11 REVAMED HEALTHCARE PARTNERS, LLC 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2023-01-01
Business code 812990
Sponsor’s telephone number 5617081760
Plan sponsor’s address 6056 BOYNTON BEACH BLVD., SUITE 115, BOYNTON BEACH, FL, 33437

Signature of

Role Plan administrator
Date 2024-10-11
Name of individual signing GANEL FILS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
FILS INTERNATIONAL CONSULTING GROUP, INC. Agent

Authorized Member

Name Role Address
BASTIEN-MONTPEIROUS, NATHALIE Authorized Member 6056 BOYNTON BEACH BLVD, STE 115 BOYNTON BEACH, FL 33472

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-29 Fils International Consulting Group Inc No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-29 1645 Palm Beach Lakes Blvd, Suite 1200, West Palm Beach, FL 33401 No data
CHANGE OF MAILING ADDRESS 2022-04-21 6056 BOYNTON BEACH BLVD, SUITE 115, BOYNTON BEACH, FL 33472 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-03-16
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-04-30
Florida Limited Liability 2018-11-02

Date of last update: 17 Jan 2025

Sources: Florida Department of State