| Entity Name: | SOFLO PSYCHIATRIC SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Sep 2019 (5 years ago) |
| Document Number: | L19000222531 |
| FEI/EIN Number | 84-2981495 |
| Address: | 11997 N. Lake Drive, Boynton Beach, FL, 33436, US |
| Mail Address: | 11997 N. LAKE DR., BOYNTON BEACH, FL, 33436-5571 |
| ZIP code: | 33436 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578113049 | 2019-09-17 | 2024-04-17 | 11997 N LAKE DR, BOYNTON BEACH, FL, 334365571, US | 11997 N LAKE DR, BOYNTON BEACH, FL, 334365571, US | |||||||||||||||
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| Phone | +1 561-601-3769 |
| Fax | 9496558577 |
Authorized person
| Name | JENIFER DEYOE |
| Role | APRN |
| Phone | 5616013769 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JENIFER ANN DEYOE, MSN, APRN-BC | Agent | 11997 N. LAKE DR., BOYNTON BEACH, FL, 334365571 |
| Name | Role | Address |
|---|---|---|
| JENIFER ANN DEYOE, MSN, APRN-BC | Authorized Member | 11997 N. LAKE DR., BOYNTON BEACH, FL, 334365571 |
| Name | Role | Address |
|---|---|---|
| JENIFER ANN DEYOE, MSN, APRN-BC | Manager | 11997 N. LAKE DR., BOYNTON BEACH, FL, 334365571 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-17 | 11997 N. Lake Drive, Boynton Beach, FL 33436 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-03-27 |
| Florida Limited Liability | 2019-09-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
