| Entity Name: | TRANSFORMED HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Dec 2023 (a year ago) |
| Document Number: | L23000542520 |
| FEI/EIN Number | 93-4781381 |
| Address: | 20423 STATE RD 7, F-10 SUITE 28, BOCA RATON, FL 33428 |
| Mail Address: | 21516 Halstead Dr, Boca Raton, FL 33428 |
| ZIP code: | 33428 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609644459 | 2023-12-12 | 2023-12-18 | 21516 HALSTEAD DR, BOCA RATON, FL, 334284843, US | 20423 STATE ROAD 7 STE F10, BOCA RATON, FL, 334986774, US | |||||||||||||||||
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| Phone | +1 630-750-4317 |
| Phone | +1 561-617-4650 |
| Fax | 3512000476 |
Authorized person
| Name | MRS. DEBORAH L THOMPSON |
| Role | NURSE PRACTITIONER, OWNER |
| Phone | 6307504317 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMPSON, DEBORAH | Agent | 21516 HALSTEAD DRIVE, BOCA RATON, FL 33428 |
| Name | Role | Address |
|---|---|---|
| THOMPSON, DEBORAH | Manager | 21516 HALSTEAD DRIVE, BOCA RATON, FL 33428 |
| Name | Role | Address |
|---|---|---|
| THOMPSON, MICHAEL | Authorized Member | 21516 HALSTEAD DRIVE, BOCA RATON, FL 33428 |
| THOMPSON, ANDREW | Authorized Member | 21516 HALSTEAD DRIVE, BOCA RATON, FL 33428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-24 | 20423 STATE RD 7, F-10 SUITE 28, BOCA RATON, FL 33428 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| Florida Limited Liability | 2023-12-04 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
