| 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 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720746951 | 2021-12-06 | 2023-09-06 | 1701 SE HILLMOOR DR STE B9, PORT SAINT LUCIE, FL, 349527540, US | 1701 SE HILLMOOR DR STE B9, PORT SAINT LUCIE, FL, 349527540, US | |||||||||||||
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| Phone | +1 772-348-0303 |
Authorized person
| Name | DR. JUDITH C BROOKS |
| Role | MANAGER |
| Phone | 7723480303 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROOKS JUDITH | Agent | 1701 Hillmoor Drive, PORT ST LUCIE, FL |
| Name | Role | Address |
|---|---|---|
| BROOKS JUDITH | Manager | 1701 Hillmoor Drive, PORT ST LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-08-17 | 1701 SE HILLMOOR DR, SUITE B9, PORT ST LUCIE, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2022-08-17 | 1701 SE HILLMOOR DR, SUITE B9, PORT ST LUCIE, FL 34952 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-18 | 1701 Hillmoor Drive, Suite 9, PORT ST LUCIE, FL | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-17 |
| ANNUAL REPORT | 2023-03-05 |
| ANNUAL REPORT | 2022-03-18 |
| Florida Limited Liability | 2021-07-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
