| Entity Name: | SOUTH FLORIDA PSYCH AND INTEGRATED CARE CONCIERGE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Apr 2021 (4 years ago) |
| Document Number: | L21000179330 |
| FEI/EIN Number | 87-2369216 |
| Address: | 6100 Glades Rd, BOCA RATON, FL, 33434, US |
| Mail Address: | 8692 COBBLESTONE POINT CIRCLE, BOYNTON BEACH, FL, 33472 |
| ZIP code: | 33434 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598400467 | 2022-05-04 | 2024-09-20 | 6100 GLADES RD STE 311, BOCA RATON, FL, 334344325, US | 6100 GLADES RD STE 311, BOCA RATON, FL, 334344325, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-931-0381 |
| Fax | 5612643153 |
Authorized person
| Name | YVELINE JACQUES |
| Role | OWNER |
| Phone | 5613370210 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JACQUES YVELINE | Agent | 8692 COBBLESTONE POINT CIRCLE, BOYNTON BEACH, FL, 33472 |
| Name | Role | Address |
|---|---|---|
| JACQUES YVELINE | Manager | 8692 COBBLESTONE POINT CIRCLE, BOYNTON BEACH, FL, 33472 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-03 | 6100 Glades Rd, 311, BOCA RATON, FL 33434 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-03-31 |
| Florida Limited Liability | 2021-04-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
