| Entity Name: | PALM BEACH BOUTIQUE MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Aug 2020 (4 years ago) |
| Document Number: | L20000270210 |
| FEI/EIN Number | 852638658 |
| Address: | 227 PROFESSIONAL WAY, WELLINGTON, FL, FL, 33414, US |
| Mail Address: | 227 PROFESSIONAL WAY, WELLINGTON, FL, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134732712 | 2020-08-25 | 2020-08-25 | 227 PROFESSIONAL WAY, WELLINGTON, FL, 334146392, US | 227 PROFESSIONAL WAY, WELLINGTON, FL, 334146392, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 561-318-8440 |
Authorized person
| Name | BINA RASHID |
| Role | OWNER |
| Phone | 5613118844 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Reynolds Kevin | Agent | 227 PROFESSIONAL WAY, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| RASHID BINA | Manager | 227 PROFESSIONAL WAY, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-22 | Reynolds, Kevin | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-08-30 |
| ANNUAL REPORT | 2021-02-10 |
| Florida Limited Liability | 2020-08-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
