| Entity Name: | LQV WEST PALM BEACH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jan 2019 (6 years ago) |
| Document Number: | L19000023414 |
| FEI/EIN Number | 83-3233142 |
| Address: | 4901 NW 17th Way, Suite 305, Fort Lauderdale, FL, 33309, US |
| Mail Address: | 4901 NW 17th Way, Unit 305, Fort Lauderdale, FL, 33309, US |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083297071 | 2021-04-28 | 2021-04-28 | 1460 HIPPOCRATES WAY, 2ND FLOOR, WEST PALM, FL, 33411, US | 1460 HIPPOCRATES WAY, 2ND FLOOR, WEST PALM, FL, 33411, US | |||||||||||||
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| Phone | +1 561-463-8227 |
Authorized person
| Name | BLAKE ENGLE |
| Role | CORPORATE DISTRICT MANAGER |
| Phone | 9546502130 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Tejada Shayna | Agent | 5153 NW 42nd Terrace, Coconut Creek, FL, 33073 |
| Name | Role |
|---|---|
| LQV LAUDERDALE BEACH LLC | Authorized Member |
| DYNASTY SPORTS NUTRITION, LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-05 | 4901 NW 17th Way, Suite 305, Fort Lauderdale, FL 33309 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-06 | 4901 NW 17th Way, Suite 305, Fort Lauderdale, FL 33309 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-10 | Tejada, Shayna | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-10 | 5153 NW 42nd Terrace, Coconut Creek, FL 33073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-01 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-06-10 |
| Florida Limited Liability | 2019-01-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
