| Entity Name: | EVOLUTION HEALTH ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Dec 2018 (6 years ago) |
| Document Number: | L18000287118 |
| FEI/EIN Number | 83-3003380 |
| Mail Address: | 6900 N.W. 34TH STREET, MARGATE, FL, 33063 |
| Address: | 14201 W. Sunrise Blvd, 208, Sunrise, FL, 33323, US |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851047716 | 2022-03-01 | 2023-12-14 | 14201 W SUNRISE BLVD STE 208, SUNRISE, FL, 333233207, US | 14201 W SUNRISE BLVD STE 208, SUNRISE, FL, 333233207, US | |||||||||||||||||
|
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| Phone | +1 954-851-9690 |
Authorized person
| Name | ROCHELLE BOYD |
| Role | OWNER/PROVIDER |
| Phone | 7725197731 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOYD ROCHELLE | Agent | 14201 W. Sunrise Blvd, Sunrise, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| BOYD ROCHELLE | Manager | 14201 W. Sunrise Blvd, Sunrise, FL, 33323 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-09 | 14201 W. Sunrise Blvd, 208, Sunrise, FL 33323 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-09 | 14201 W. Sunrise Blvd, 208, Sunrise, FL 33323 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-02-12 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-06-03 |
| Florida Limited Liability | 2018-12-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
