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LIGHTHOUSE HEALTHCARE ADMINISTRATION, LLC - Florida Company Profile

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Company Details

Entity Name: LIGHTHOUSE HEALTHCARE ADMINISTRATION, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Jan 2024 (2 years ago)
Document Number: L24000049425
FEI/EIN Number 99-4514911
Address: 3047 CASA RIO COURT, PALM BEACH GARDENS, FL, 33418
Mail Address: 3047 CASA RIO COURT, PALM BEACH GARDENS, FL, 33418
ZIP code: 33418
City: Palm Beach Gardens
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MARQUEZ KATRINA M Managing Member 3047 CASA RIO COURT, PALM BEACH GARDENS, FL, 33418
GERENA BIANCA S Agent 3047 CASA RIO COURT, PALM BEACH GARDENS, FL, 33418

National Provider Identifier

NPI Number:
1053105296
Certification Date:
2025-04-04

Authorized Person:

Name:
MRS. KATRINA MARQUEZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
171W00000X - Contractor
Is Primary:
Yes

Contacts:

Documents

Name Date
Florida Limited Liability 2024-01-26

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Date of last update: 02 Aug 2025

Sources: Florida Department of State