| Entity Name: | PSHS ALPHA PARTNERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PSHS ALPHA PARTNERS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 01 May 2024 (a year ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 01 May 2024 (a year ago) |
| Document Number: | L24000196932 |
| FEI/EIN Number |
650793962
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 340 Seven Springs Way, Brentwood, TN, 37027, US |
| Address: | 7408 Lake Worth Rd, Lake Worth, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033106612 | 2005-09-29 | 2024-05-09 | 7408 LAKE WORTH RD STE 900, LAKE WORTH, FL, 334672502, US | 7408 LAKE WORTH RD STE 900, LAKE WORTH, FL, 334672502, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-433-5700 |
| Fax | 5614335901 |
Authorized person
| Name | JENNIFER B. BALDOCK |
| Role | OFFICER AND AUTHORIZED OFFICIAL |
| Phone | 6152345954 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1069 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | US DEPT OF LABOR |
| Number | 170233100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 0705721-00 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 67G |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BALDOCK JENNIFER | Authorized Member | 340 SEVEN SPRINGS WAY SUITE 600, BRENTWOOD, TN, 37027 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-13 | 7408 Lake Worth Rd, Suite 900, Lake Worth, FL 33467 | - |
| CHANGE OF MAILING ADDRESS | 2024-05-13 | 7408 Lake Worth Rd, Suite 900, Lake Worth, FL 33467 | - |
| CONVERSION | 2024-05-01 | - | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS A97000001254. CONVERSION NUMBER 900000253259 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-05-01 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
