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DEERFIELD HEALTH GROUP LLC

Company Details

Entity Name: DEERFIELD HEALTH GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 02 Dec 2021 (3 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 05 Sep 2023 (a year ago)
Document Number: L21000510606
FEI/EIN Number 87-3793889
Address: 4853 NORTH DIXIE HWY, DEERFIELD BEACH, FL 33064
Mail Address: 1365 SW 25TH AVENUE, DEERFIELD BEACH, FL 33442
ZIP code: 33064
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700534088 2022-03-15 2022-10-31 4853 N DIXIE HWY, DEERFIELD BEACH, FL, 330644861, US 4853 N DIXIE HWY, DEERFIELD BEACH, FL, 330644861, US

Contacts

Phone +1 754-212-2668
Fax 9546970313

Authorized person

Name MRS. CHEDELINE NOEL
Role OWNER
Phone 7542122668

Taxonomy

Taxonomy Code 207QA0505X - Adult Medicine Physician
Is Primary Yes

Agent

Name Role Address
DEROGENE, MARKEUNEZI Agent 1365 SW 25TH AVENUE, DEERFIELD BEACH, FL 33442

Manager

Name Role Address
NOEL, CHEDELINE Manager 1975 SKYLAND GLEN DRIVE, SNELLVILLE, GA 30078

Administrator

Name Role Address
derogene, markeunezi Administrator 1365 sw 25th ave, deerfield beach, FL 33442

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000032333 KAIROS ORTHOPEDICS AND NEUROSURGERY ACTIVE 2023-03-10 2028-12-31 No data 4847 NORTH DIXIE HIGHWAY, DEERFIELD BEACH, FL, 33064
G22000122368 DEERFIELD HEALTH GROUP ACTIVE 2022-09-28 2027-12-31 No data 4853 NORTH DIXIE HWY, DEERFIELD BEACH, FL, 33064
G22000066395 BROWARD ORTHOPEDIC ACTIVE 2022-05-30 2027-12-31 No data 1365 SW 25TH AVENUE, DEERFIELD BEACH, FL, 33442

Events

Event Type Filed Date Value Description
LC NAME CHANGE 2023-09-05 DEERFIELD HEALTH GROUP LLC No data
LC AMENDMENT 2022-04-08 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-08
AMENDED ANNUAL REPORT 2024-12-17
ANNUAL REPORT 2024-02-16
LC Name Change 2023-09-05
ANNUAL REPORT 2023-03-06
LC Amendment 2022-04-08
ANNUAL REPORT 2022-02-01
Florida Limited Liability 2021-12-02

Date of last update: 13 Jan 2025

Sources: Florida Department of State