| Entity Name: | MAGNOLIA MEDICAL CARE MANAGEMENT SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Jul 2022 (3 years ago) |
| Document Number: | L22000305350 |
| FEI/EIN Number | 88-4041805 |
| Address: | 980 N. Federal Hwy, Boca Raton, FL, 33432, US |
| Mail Address: | 980 N. Federal Hwy, Boca Raton, FL, 33432, US |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568169662 | 2023-02-09 | 2023-02-09 | 183 CITRUS TRAIL CIR, BOYNTON BEACH, FL, 334361830, US | 183 CITRUS TRAIL CIR, BOYNTON BEACH, FL, 334361830, US | |||||||||||||||||
|
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| Phone | +1 561-929-5520 |
Authorized person
| Name | DR. MADELINE MICHEL |
| Role | NURSE PRACTITIONER |
| Phone | 5619295520 |
Taxonomy
| Taxonomy Code | 163WG0000X - General Practice Registered Nurse |
| Is Primary | Yes |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MICHEL MADELINE | Agent | 183 CITRUS TRAIL CIRCLE, BOYNTON BEACH, FL, 33436 |
| Name | Role | Address |
|---|---|---|
| MICHEL MADELINE | President | 183 CITRUS TRAIL CIRCLE, BOYNTON BEACH, FL, 33436 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-26 | 980 N. Federal Hwy, Suite 110, Boca Raton, FL 33432 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-26 | 980 N. Federal Hwy, Suite 110, Boca Raton, FL 33432 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-04-01 |
| Florida Limited Liability | 2022-07-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
