Entity Name: | MD PSYCARE LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 17 Nov 2023 (a year ago) |
Document Number: | L23000520399 |
FEI/EIN Number | 93-4464257 |
Address: | 980 NORTH FEDERAL HIGHWAY, SUITE 110 #1006, BOCA RATON, FL 33432 |
Mail Address: | 980 NORTH FEDERAL HIGHWAY, SUITE 110 #1006, BOCA RATON, FL 33432 |
ZIP code: | 33432 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1760206635 | 2024-11-08 | 2024-11-08 | 980 NORTH FEDERAL HIGHWAY, SUITE 110 #1006, BOCA RATON, FL, 33432, US | 980 NORTH FEDERAL HIGHWAY, SUITE 110 #1006, BOCA RATON, FL, 33432, US | |||||||||||||||
|
Phone | +1 561-786-5874 |
Fax | 5619731964 |
Authorized person
Name | MORAMED DESROCHES |
Role | CEO |
Phone | 7862906544 |
Taxonomy
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DESROCHES, MORAMED G | Agent | 4111 NW 62ND DRIVE, COCONUT CREEK, FL 33073 |
Name | Role | Address |
---|---|---|
DESROCHES, MORAMED | PRESIDENT | 980 NORTH FEDERAL HIGHWAY, SUITE 110 #1006 BOCA RATON, FL 33432 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-11-08 | 980 NORTH FEDERAL HIGHWAY, SUITE 110 #1006, BOCA RATON, FL 33432 | No data |
CHANGE OF MAILING ADDRESS | 2024-11-08 | 980 NORTH FEDERAL HIGHWAY, SUITE 110 #1006, BOCA RATON, FL 33432 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-01 |
Florida Limited Liability | 2023-11-17 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State