| Entity Name: | 121HEALTHCARE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Apr 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 06 Dec 2021 (3 years ago) |
| Document Number: | L20000101877 |
| FEI/EIN Number | 85-0725636 |
| Address: | 3333 W Commercial Blvd, Fort Lauderdale, FL, 33309, US |
| Mail Address: | 3333 W Commercial Blvd, 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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831765528 | 2021-06-02 | 2021-06-02 | 14240 JOCKEY CIR S, DAVIE, FL, 333301062, US | 8201 N UNIVERSITY DR, TAMARAC, FL, 333211709, US | |||||||||||||
|
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| Phone | +1 516-589-9386 |
Authorized person
| Name | SARIKA BADGAMIA |
| Role | BILLING MANAGER |
| Phone | 9544154421 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LABORDE FREDERICK N | Agent | 14240 JOCKEY CIR S, DAVIE, FL, 33330 |
| Name | Role | Address |
|---|---|---|
| LABORDE FREDERICK N | Manager | 14240 JOCKEY CIR S, DAVIE, FL, 33330 |
| Name | Role | Address |
|---|---|---|
| CADET-LABORDE FABIENNE T | Authorized Member | 14240 JOCKEY CIR S, DAVIE, FL, 33330 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000038756 | 121 WOUND CARE | ACTIVE | 2024-03-18 | 2029-12-31 | No data | 3333 WEST COMMERCIAL BLVD, OAKLAND PARK, FL, 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-06 | 3333 W Commercial Blvd, SUITE 110, Fort Lauderdale, FL 33309 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-06 | 3333 W Commercial Blvd, SUITE 110, Fort Lauderdale, FL 33309 | No data |
| LC AMENDMENT | 2021-12-06 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-02-12 |
| LC Amendment | 2021-12-06 |
| ANNUAL REPORT | 2021-03-10 |
| Florida Limited Liability | 2020-04-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
