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HYDRATION HAVEN, LLC

Company Details

Entity Name: HYDRATION HAVEN, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 09 Nov 2020 (4 years ago)
Date of dissolution: 29 Apr 2024 (9 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 29 Apr 2024 (9 months ago)
Document Number: L20000354185
FEI/EIN Number 85-4304187
Address: 5600 NW 57TH WAY, TAMARAC, FL 33319 UN
Mail Address: 5600 NW 57TH WAY, TAMARAC, FL 33319 UN
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376135889 2021-02-05 2021-02-05 5600 NW 57TH WAY, TAMARAC, FL, 333192420, US 5600 NW 57TH WAY, TAMARAC, FL, 333192420, US

Contacts

Phone +1 786-290-5415

Authorized person

Name MARSHA JACKSON
Role OWNER
Phone 7862905415

Taxonomy

Taxonomy Code 363LA2200X - Adult Health Nurse Practitioner
Is Primary No
Taxonomy Code 363LP2300X - Primary Care Nurse Practitioner
Is Primary Yes

Agent

Name Role
REGISTERED AGENTS INC Agent

Authorized Person

Name Role Address
JACKSON, MARSHA Authorized Person 5600 NW 57TH WAY, TAMARAC, FL 33319 UN

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-04-29 No data No data
REGISTERED AGENT NAME CHANGED 2021-03-23 REGISTERED AGENTS INC. No data
REGISTERED AGENT ADDRESS CHANGED 2021-03-23 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-04-29
ANNUAL REPORT 2023-02-17
ANNUAL REPORT 2022-03-25
Reg. Agent Change 2021-03-23
ANNUAL REPORT 2021-03-16
Florida Limited Liability 2020-11-09

Date of last update: 15 Jan 2025

Sources: Florida Department of State