| Entity Name: | STEDFAST MEDICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Apr 2021 (4 years ago) |
| Document Number: | L21000169440 |
| FEI/EIN Number | 86-3184834 |
| Address: | 1205 MERLOT DRIVE, PALM BEACH GARDENS, FL, 33410, US |
| Mail Address: | 1205 MERLOT DRIVE, PALM BEACH GARDENS, FL, 33410, US |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508438284 | 2021-07-13 | 2023-07-10 | 3365 BURNS RD STE 203, PALM BEACH GARDENS, FL, 334104303, US | 3365 BURNS RD STE 203, PALM BEACH GARDENS, FL, 334104303, US | |||||||||||||||||
|
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| Phone | +1 561-708-5092 |
Authorized person
| Name | YENNISLEYDI JIMENEZ |
| Role | MANAGER |
| Phone | 5614129373 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HUSTED MICHAEL | Agent | 1205 MERLOT DRIVE, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| HUSTED DAVID | Authorized Member | 1205 MERLOT DRIVE, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| HUSTED MICHAEL | Manager | 1205 MERLOT DRIVE, PALM BEACH GARDENS, FL, 33410 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-01-27 |
| Florida Limited Liability | 2021-04-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
