| Entity Name: | HEALTHY SENIORS MEDICAL HOLDINGS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 07 Oct 2020 (4 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L20000317086 |
| Address: | 2199 NE 5TH AVE, BOCA RATON, FL 33431 |
| Mail Address: | 2199 NE 5TH AVE, BOCA RATON, FL 33431 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659976850 | 2020-12-03 | 2020-12-03 | 2199 NE 5TH AVE, BOCA RATON, FL, 334317610, US | 515 E LAS OLAS BLVD STE 120, FT LAUDERDALE, FL, 333014261, US | |||||||||||||||||
|
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| Phone | +1 561-702-1299 |
| Fax | 5615847505 |
| Phone | +1 954-787-8874 |
Authorized person
| Name | CHRISTOPHER J PETTAS |
| Role | CEO |
| Phone | 5617021299 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PETTAS, CHRISTOPHER J | Agent | 2199 NE 5TH AVE, BOCA RATON, FL 33431 |
| Name | Role | Address |
|---|---|---|
| PETTAS, CHRISTOPHER J | Manager | 2199 NE 5TH AVE, BOCA RATON, FL 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2020-10-07 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
