| Entity Name: | HYPERBARIC HAVEN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Jul 2023 (2 years ago) |
| Document Number: | L23000334603 |
| FEI/EIN Number | 93-3679394 |
| Address: | 12794 FOREST HILL BOULEVARD, SUITES 9-10A, WELLINGTON, FL 33414 |
| Mail Address: | 14471 PADDOCK DRIVE, WELLINGTON, FL 33414 |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861172207 | 2023-07-20 | 2023-11-06 | 12794 FOREST HILL BLVD STE 9-10, WELLINGTON, FL, 334144710, US | 12794 FOREST HILL BLVD STE 9-10, WELLINGTON, FL, 334144710, US | |||||||||||||||||
|
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| Phone | +1 954-592-4961 |
Authorized person
| Name | TIFFANY MCCALLA |
| Role | OWNER |
| Phone | 9545924961 |
Taxonomy
| Taxonomy Code | 207PE0005X - Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
| Is Primary | Yes |
| Taxonomy Code | 2083P0011X - Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BOTTORFF, ALAN E | Agent | 14471 PADDOCK DRIVE, WELLINGTON, FL 33414 |
| Name | Role | Address |
|---|---|---|
| BOTTORFF, ALAN | Manager | 14471 PADDOCK DRIVE, WELLINGTON, FL 33414 |
| MCCALLA, TIFFANY N | Manager | 14471 PADDOCK DRIVE, WELLINGTON, FL 33414 |
| Name | Role | Address |
|---|---|---|
| MCCALLA, TIFFANY N | Director | 14471 PADDOCK DRIVE, WELLINGTON, FL 33414 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| Florida Limited Liability | 2023-07-14 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
