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HORIZON FAMILY MEDICAL PRACTICE LLC - Florida Company Profile

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Company Details

Entity Name: HORIZON FAMILY MEDICAL PRACTICE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Mar 2019 (6 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 16 Nov 2020 (5 years ago)
Document Number: L19000056608
FEI/EIN Number 83-3945925
Address: 1236 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411, US
Mail Address: 1236 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411, US
ZIP code: 33411
City: West Palm Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CHANG MERREL Manager 1236 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411
JAMES LECIA Manager 1236 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411
WEST BEVERLEY Manager 1236 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411
PERRIN ANTHONY Manager 1236 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411
CHANG MERREL Agent 1236 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411

National Provider Identifier

NPI Number:
1134740061
Certification Date:
2020-05-07

Authorized Person:

Name:
VALEREY BARTHELEMY
Role:
CREDENTIAL MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5617748660
Fax:
5617748665

Events

Event Type Filed Date Value Description
LC AMENDMENT 2020-11-16 - -
CHANGE OF PRINCIPAL ADDRESS 2020-11-16 1236 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL 33411 -
CHANGE OF MAILING ADDRESS 2020-11-16 1236 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL 33411 -
REGISTERED AGENT NAME CHANGED 2020-11-16 CHANG, MERREL -
REGISTERED AGENT ADDRESS CHANGED 2020-11-16 1236 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL 33411 -

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-03-31
ANNUAL REPORT 2021-04-30
LC Amendment 2020-11-16
ANNUAL REPORT 2020-05-05
Florida Limited Liability 2019-03-06

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Date of last update: 03 Jul 2025

Sources: Florida Department of State