121HEALTHCARE SERVICES, LLC - Florida Company Profile

Key Officers & Management

Name	Role	Address
LABORDE FREDERICK N	Manager	14240 JOCKEY CIR S, DAVIE, FL, 33330
CADET-LABORDE FABIENNE T	Authorized Member	14240 JOCKEY CIR S, DAVIE, FL, 33330
LABORDE FREDERICK N	Agent	14240 JOCKEY CIR S, DAVIE, FL, 33330

National Provider Identifier

Authorized Person:

Taxonomy:

Contacts:

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G24000038756	121 WOUND CARE	ACTIVE	2024-03-18	2029-12-31	-	3333 WEST COMMERCIAL BLVD, OAKLAND PARK, FL, 33309

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2022-10-06	3333 W Commercial Blvd, SUITE 110, Fort Lauderdale, FL 33309	-
CHANGE OF MAILING ADDRESS	2022-10-06	3333 W Commercial Blvd, SUITE 110, Fort Lauderdale, FL 33309	-
LC AMENDMENT	2021-12-06	-	-

Documents

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