| Entity Name: | INTERSTELLAR HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Jan 2019 (6 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 09 Feb 2022 (3 years ago) |
| Document Number: | L19000004761 |
| FEI/EIN Number | 83-3096744 |
| Mail Address: | 7901 4th St N, STE 300, St. Petersburg, FL 33702 |
| Address: | 980 N Federal Hwy suite 110, Boca Raton, FL 33432 |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881333094 | 2022-06-04 | 2022-07-20 | 9374 AEGEAN DR, BOCA RATON, FL, 334966681, US | 980 N FEDERAL HWY STE 110, BOCA RATON, FL, 334322704, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-206-2707 |
| Phone | +1 561-247-1734 |
Authorized person
| Name | WILLINE LOUIS |
| Role | OWNER |
| Phone | 9546042227 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Louis, Willine | Authorized Member | 980 N Federal Hwy suite 110, Boca Raton, FL 33432 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000004885 | LOUIS MEDICAL | EXPIRED | 2019-01-09 | 2024-12-31 | No data | 9374 AEGEAN DRIVE, BOCA RATON, FL, 33496 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-02 | 980 N Federal Hwy suite 110, Boca Raton, FL 33432 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-02 | 980 N Federal Hwy suite 110, Boca Raton, FL 33432 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-02 | 7901 4th St N, STE 300, St. Petersburg, FL 33702 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-02-10 | Northwest Registered Agent LLC | No data |
| LC NAME CHANGE | 2022-02-09 | INTERSTELLAR HEALTH LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-02-10 |
| AMENDED ANNUAL REPORT | 2022-05-30 |
| ANNUAL REPORT | 2022-03-29 |
| LC Name Change | 2022-02-09 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-04-17 |
| Florida Limited Liability | 2019-01-02 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
