| Entity Name: | BETH WOLF, APRN-BC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Jan 2021 (4 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L21000027317 |
| FEI/EIN Number | 86-1859995 |
| Address: | 220 Hillsboro Technology Drive, Suite 230, Deerfield Beach, FL, 33441, US |
| Mail Address: | 220 Hillsboro Technology Drive, Suite 230, Deerfield Beach, FL, 33441, US |
| ZIP code: | 33441 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225623168 | 2021-03-03 | 2023-11-21 | 3210 N ANDREWS AVENUE EXT, POMPANO BEACH, FL, 330642116, US | 21301 POWERLINE RD STE 106, BOCA RATON, FL, 334332389, US | |||||||||||||||||||||||||||||
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| Phone | +1 561-289-0709 |
| Fax | 5615167362 |
| Phone | +1 866-550-7362 |
Authorized person
| Name | BETH WOLF |
| Role | OWNER |
| Phone | 5612890709 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Jeremy Gelbart | Agent | 220 Hillsboro Technology Drive, Deerfield Beach, FL, 33441 |
| Name | Role | Address |
|---|---|---|
| BETH WOLF | Manager | 1250 NORTHEAST 173RD STREET, NORTH MIAMI BEACH, FL, 33162 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-08 | 220 Hillsboro Technology Drive, Suite 230, Deerfield Beach, FL 33441 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-08 | 220 Hillsboro Technology Drive, Suite 230, Deerfield Beach, FL 33441 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-08 | Jeremy, Gelbart | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-08 | 220 Hillsboro Technology Drive, Suite 230, Deerfield Beach, FL 33441 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-04 |
| Florida Limited Liability | 2021-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
