Entity Name: | BYKOTA HEALTH, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 14 Apr 2023 (2 years ago) |
Document Number: | L23000185405 |
FEI/EIN Number | 92-3525287 |
Address: | 1729 NW St Lucie West Blvd, #1046, PORT ST LUCIE, FL 34986 |
Mail Address: | 1729 NW St Lucie West Blvd, #1046, PORT ST LUCIE, FL 34986 |
ZIP code: | 34986 |
County: | St. Lucie |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1871281717 | 2023-04-28 | 2023-05-01 | 763 SW PELICAN CV, PORT ST LUCIE, FL, 349862036, US | 1700 SE HILLMOOR DR STE 102, PORT ST LUCIE, FL, 349527544, US | |||||||||||||||
|
Phone | +1 772-779-2724 |
Fax | 7727743063 |
Authorized person
Name | DR. OTENI HAMILTON |
Role | OWNER |
Phone | 7727792724 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Name | Role |
---|---|
SUNSHINE CORPORATE FILINGS LLC | Agent |
Name | Role | Address |
---|---|---|
HAMILTON, OTENI G, MD | Manager | 1729 NW St Lucie West Blvd, #1046 PORT ST LUCIE, FL 34986 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-03-20 | 1729 NW St Lucie West Blvd, #1046, PORT ST LUCIE, FL 34986 | No data |
CHANGE OF MAILING ADDRESS | 2024-03-20 | 1729 NW St Lucie West Blvd, #1046, PORT ST LUCIE, FL 34986 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-20 |
Florida Limited Liability | 2023-04-14 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State