| Entity Name: | PREMIER HEALTH SERVICES SOUTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Mar 2024 (10 months ago) |
| Document Number: | L24000147876 |
| Address: | 801 MARBLE WAY, BOCA RATON, FL 33432 |
| Mail Address: | 801 MARBLE WAY, 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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629811740 | 2024-06-17 | 2024-06-17 | 170 NE 2ND ST UNIT 1139, BOCA RATON, FL, 334295050, US | 800 MEADOWS RD, BOCA RATON, FL, 334862304, US | |||||||||||||||||
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| Phone | +1 561-715-1051 |
| Fax | 6713956891 |
| Fax | 5613956891 |
Authorized person
| Name | DR. DAVID BRUCE HEVERT |
| Role | PRESIDENT |
| Phone | 5617898855 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HEVERT, DAVID B | Agent | 801 MARBLE WAY, BOCA RATON, FL 33432 |
| Name | Role | Address |
|---|---|---|
| HEVERT, DAVID B | Authorized Member | 801 MARBLE WAY, BOCA RATON, FL 33432 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-27 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
