| Entity Name: | INTENSIVE CARE PARTNERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Feb 2023 (2 years ago) |
| Document Number: | L23000093830 |
| FEI/EIN Number | 92-3803892 |
| Address: | 21218 SAINT ANDREWS BLVD., SUITE 638, BOCA RATON, FL 33433 |
| Mail Address: | 21218 SAINT ANDREWS BLVD., SUITE 638, BOCA RATON, FL 33433 |
| ZIP code: | 33433 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699479162 | 2023-03-29 | 2024-09-17 | 21218 SAINT ANDREWS BLVD STE 638, BOCA RATON, FL, 334332435, US | 5555 W BLUE HERON BLVD, RIVIERA BEACH, FL, 334187813, US | |||||||||||||||||||||||
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| Phone | +1 561-577-8830 |
| Fax | 8557480099 |
Authorized person
| Name | JACQUELINE MONTOYA |
| Role | OWNER |
| Phone | 5612548130 |
Taxonomy
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 282N00000X - General Acute Care Hospital |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Guardia, Maria | Agent | 222 Avenue L, Delray Beach, FL 33483 |
| Name | Role | Address |
|---|---|---|
| MONTOYA, JACQUELINE | Chief Executive Officer | 9054 Moriset Ct, Delray Beach, FL 33446 |
| Name | Role | Address |
|---|---|---|
| MONTOYA, JACQUELINE | Authorized Member | 9054 Moriset Ct, Delray Beach, FL 33446 |
| Moseson, Jordan | Authorized Member | 9054 Moriset Ct, Delray Beach, FL 33446 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-26 | Guardia, Maria | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-26 | 222 Avenue L, Delray Beach, FL 33483 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| Florida Limited Liability | 2023-02-21 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
