| Entity Name: | BLUEBYRD WOUND AND LYMPHATIC CARE AND CONSULTATION SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 May 2023 (2 years ago) |
| Document Number: | L23000216327 |
| FEI/EIN Number | 93-3789944 |
| Address: | 3374 WINCHESTER ESTATE CIRCLE, LAKELAND, FL 33810 |
| Mail Address: | 3374 WINCHESTER ESTATE CIRCLE, LAKELAND, FL 33810 |
| ZIP code: | 33810 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740064724 | 2023-08-22 | 2023-10-06 | 3374 WINCHESTER ESTATES CIR, LAKELAND, FL, 338104364, US | 3374 WINCHESTER ESTATES CIR, LAKELAND, FL, 338104364, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 863-509-8328 |
Authorized person
| Name | STACEY C MCINTYRE |
| Role | MANAGER |
| Phone | 8136832277 |
Taxonomy
| Taxonomy Code | 163WW0000X - Wound Care Registered Nurse |
| Is Primary | Yes |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MCINTRYE, STACEY C | Agent | 3374 WINCHESTER ESTATE CIRCLE, LAKELAND, FL 33810 |
| Name | Role | Address |
|---|---|---|
| MCINTYRE, STACEY C | Manager | 3374 WINCHESTER ESTATE CIRCLE, LAKELAND, FL 33810 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| Florida Limited Liability | 2023-05-02 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
