| Entity Name: | BLESS MEDICAL CENTER OF LAKE WORTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jun 2021 (4 years ago) |
| Document Number: | L21000293013 |
| FEI/EIN Number | 87-1423752 |
| Address: | 4915 S Congress Ave Suite A, Lake Worth, FL, 33462, US |
| Mail Address: | 4915 S Congress Ave Suite A, Lake Worth, FL, 33462, US |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538832399 | 2021-07-28 | 2021-07-28 | 440 E SAMPLE RD STE 107, POMPANO BEACH, FL, 330644432, US | 440 E SAMPLE RD STE 107, POMPANO BEACH, FL, 330644432, US | |||||||||||||
|
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| Phone | +1 954-864-6401 |
Authorized person
| Name | OZZIE MARTINEZ |
| Role | COO |
| Phone | 9548646401 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Sanchez Manuel | Agent | 4915 S Congress Ave Suite A, Lake Worth, FL, 33462 |
| Name | Role | Address |
|---|---|---|
| Sanchez Manuel | Manager | 4915 S Congress Ave Suite A, Lake Worth, FL, 33462 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-28 | 4915 S Congress Ave Suite A, Lake Worth, FL 33462 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-28 | 4915 S Congress Ave Suite A, Lake Worth, FL 33462 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-28 | Sanchez, Manuel | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-28 | 4915 S Congress Ave Suite A, Lake Worth, FL 33462 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-28 |
| Florida Limited Liability | 2021-06-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
