Entity Name: | BONAFIDE HEALTHCARE SERVICES LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 14 Jan 2020 (5 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 16 Jun 2020 (5 years ago) |
Document Number: | L20000021013 |
FEI/EIN Number | 84-4462742 |
Address: | 4849 LAKE WORTH ROAD #204A, GREENACRES, FL 33463 |
Mail Address: | 4849 LAKE WORTH ROAD #204A, GREENACRES, FL 33463 |
ZIP code: | 33463 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1205460474 | 2020-02-26 | 2020-06-04 | 8579 GRAND PRIX LN, BOYNTON BEACH, FL, 334722736, US | 8579 GRAND PRIX LN, BOYNTON BEACH, FL, 334722736, US | |||||||||||||
|
Phone | +1 754-245-9993 |
Authorized person
Name | MARIE B SAMSON-JOSEPH |
Role | PRESIDENT |
Phone | 7542459993 |
Taxonomy
Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SAMSON-JOSEPH, MARIE B | Agent | 4849 LAKE WORTH ROAD #204A, GREENACRES, FL 33463 |
Name | Role | Address |
---|---|---|
SAMSON-JOSEPH, MARIE B | Manager | 8579 GRAND PRIX LANE, BOYNTON BEACH, FL 33472 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2024-04-02 | 4849 LAKE WORTH ROAD #204A, GREENACRES, FL 33463 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-04-02 | 4849 LAKE WORTH ROAD #204A, GREENACRES, FL 33463 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2023-10-12 | 4849 LAKE WORTH ROAD #204A, GREENACRES, FL 33463 | No data |
LC AMENDMENT | 2020-06-16 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2020-06-16 | SAMSON-JOSEPH, MARIE B | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-02 |
ANNUAL REPORT | 2023-03-28 |
ANNUAL REPORT | 2022-01-30 |
ANNUAL REPORT | 2021-03-28 |
LC Amendment | 2020-06-16 |
Florida Limited Liability | 2020-01-14 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State