Entity Name: | TU SALUD OPTIMAL CARE LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 05 Jul 2022 (3 years ago) |
Document Number: | L22000299180 |
FEI/EIN Number | 88-3162985 |
Address: | 6266 South Congress Ave Ste L11, Lantana, FL 33462 |
Mail Address: | 6266 South Congress Ave Ste L11, Lantana, FL 33462 |
ZIP code: | 33462 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326814245 | 2023-12-01 | 2024-03-08 | 6266 S CONGRESS AVE # 11, LAKE WORTH, FL, 334622375, US | 6266 S CONGRESS AVE # 11, LAKE WORTH, FL, 334622375, US | |||||||||||||||||
|
Phone | +1 786-277-1621 |
Authorized person
Name | FARAH BAUDIN |
Role | OFFICE CONSULTANT |
Phone | 7862771621 |
Taxonomy
Taxonomy Code | 208D00000X - General Practice Physician |
Is Primary | Yes |
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | No |
Name | Role | Address |
---|---|---|
LABROUSSE, FATIMA | Agent | 8405 Bonita isle drive, LAKE WORTH, FL 33467 |
Name | Role | Address |
---|---|---|
VALES - PREVAL, MARIE Y | Manager | 7873 NW 11 STREET, PLANTATION, FL 33322 |
LABROUSSE, FATIMA | Manager | 8405 BONITA ISLE DR, LAKE WORTH, FL 33467 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-04-25 | 6266 South Congress Ave Ste L11, Lantana, FL 33462 | No data |
CHANGE OF MAILING ADDRESS | 2024-04-25 | 6266 South Congress Ave Ste L11, Lantana, FL 33462 | No data |
REGISTERED AGENT NAME CHANGED | 2023-04-24 | LABROUSSE, FATIMA | No data |
REGISTERED AGENT ADDRESS CHANGED | 2023-04-24 | 8405 Bonita isle drive, LAKE WORTH, FL 33467 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-25 |
ANNUAL REPORT | 2023-04-24 |
Florida Limited Liability | 2022-07-05 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State