| Entity Name: | MULTI-CARE MEDICAL OF LAKE WORTH PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 06 Oct 2022 (2 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L22000431849 |
| FEI/EIN Number | 92-0646079 |
| Address: | 2531 N DIXIE HIGHWAY, LAKE WORTH, FL 33460 |
| Mail Address: | 2531 N DIXIE HIGHWAY, LAKE WORTH, FL 33460 |
| ZIP code: | 33460 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770283228 | 2023-03-03 | 2023-03-03 | 11270 PINES BLVD, PEMBROKE PINES, FL, 330264101, US | 2531 N DIXIE HWY, LAKE WORTH, FL, 334606250, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 954-663-6562 |
| Fax | 9543339448 |
Authorized person
| Name | BERNABE M PEREZ |
| Role | BUSINESS MANAGER |
| Phone | 9546636562 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PALERMO, JACQUELINE | Agent | 62 WINDWARD ISLAND, CLEARWATER, FL 33767 |
| Name | Role | Address |
|---|---|---|
| GELCH, BRUCE | Authorized Member | 11270 PINES BLVD, PEMBROKE PINES, FL 33026 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-28 |
| Florida Limited Liability | 2022-10-06 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
