| Entity Name: | BREEZY IV HYDRATION THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Jun 2023 (2 years ago) |
| Document Number: | L23000313937 |
| FEI/EIN Number | 92-2847692 |
| Address: | 763 S. STATE ROAD 7, PLANTATION, FL 33317 |
| Mail Address: | 1602 SW 159TH AVENUE, PEMBROKE PINES, FL 33027 |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447945993 | 2023-04-10 | 2023-04-10 | 1602 SW 159TH AVE, PEMBROKE PINES, FL, 330272342, US | 767 S STATE ROAD 7, PLANTATION, FL, 333174000, US | |||||||||||||||||
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| Phone | +1 305-962-8854 |
Authorized person
| Name | MS. DAPHNE DESMARATTES |
| Role | CEO |
| Phone | 3059628854 |
Taxonomy
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| POLYCARPE, DAPHNE | Agent | 1602 SW 159TH AVENUE, PEMBROKE PINES, FL 33027 |
| Name | Role | Address |
|---|---|---|
| POLYCARPE, DAPHNE | Manager | 763 S.STATE ROAD 7, PLANTATION, FL 33317 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| Florida Limited Liability | 2023-06-30 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
