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HEALING PANDA BOCA RATON LLC

Company Details

Entity Name: HEALING PANDA BOCA RATON LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 11 Oct 2022 (2 years ago)
Document Number: L22000438817
FEI/EIN Number 92-0666166
Address: 2201 NW CORPORATE BLVD, SUITE #101, BOCA RATON, FL 33431
Mail Address: 2201 NW CORPORATE BLVD, SUITE #101, BOCA RATON, FL 33431
ZIP code: 33431
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053020271 2022-11-16 2023-03-13 2201 NW CORPORATE BLVD STE 101, BOCA RATON, FL, 334317337, US 2201 NW CORPORATE BLVD STE 101, BOCA RATON, FL, 334317337, US

Contacts

Phone +1 561-617-8751
Fax 5614230711

Authorized person

Name DAVID ROJAS
Role OWNER
Phone 3057464573

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role
HEALING PANDA LLC Agent

Authorized Representative

Name Role
HEALING PANDA LLC Authorized Representative

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000019147 ELLIE MENTAL HEALTH BOCA RATON ACTIVE 2023-02-09 2028-12-31 No data 2201 NW CORPORATE BLVD, SUITE 101, BOCA RATON, FL, 33141

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-03-29 2201 NW CORPORATE BLVD, SUITE #101, BOCA RATON, FL 33431 No data
CHANGE OF MAILING ADDRESS 2023-03-29 2201 NW CORPORATE BLVD, SUITE #101, BOCA RATON, FL 33431 No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-24
Florida Limited Liability 2022-10-11

Date of last update: 11 Feb 2025

Sources: Florida Department of State