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SOUTH PALM FAMILY CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: SOUTH PALM FAMILY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Jul 2021 (4 years ago)
Document Number: L21000342763
FEI/EIN Number 87-1929540
Address: 1701 SE HILLMOOR DR, PORT ST LUCIE, FL, 34952, US
Mail Address: 1701 SE HILLMOOR DR, PORT ST LUCIE, FL, 34952, US
ZIP code: 34952
City: Port Saint Lucie
County: St. Lucie
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BROOKS JUDITH Manager 1701 Hillmoor Drive, PORT ST LUCIE, FL, 34952
BROOKS JUDITH Agent 1701 Hillmoor Drive, PORT ST LUCIE, FL

National Provider Identifier

NPI Number:
1720746951
Certification Date:
2022-08-18

Authorized Person:

Name:
DR. JUDITH C BROOKS
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-08-17 1701 SE HILLMOOR DR, SUITE B9, PORT ST LUCIE, FL 34952 -
CHANGE OF MAILING ADDRESS 2022-08-17 1701 SE HILLMOOR DR, SUITE B9, PORT ST LUCIE, FL 34952 -
REGISTERED AGENT ADDRESS CHANGED 2022-03-18 1701 Hillmoor Drive, Suite 9, PORT ST LUCIE, FL -

Documents

Name Date
ANNUAL REPORT 2024-03-17
ANNUAL REPORT 2023-03-05
ANNUAL REPORT 2022-03-18
Florida Limited Liability 2021-07-29

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Date of last update: 01 Aug 2025

Sources: Florida Department of State