| Entity Name: | FLORIDA BLOSSOM MENTAL HEALTH, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Oct 2024 (4 months ago) |
| Document Number: | L24000424007 |
| Address: | 950 PENINSULA CORPORATE CIR, SUITE 3024, BOCA RATON, FL 33487 |
| Mail Address: | 950 PENINSULA CORPORATE CIR, SUITE 3024, BOCA RATON, FL 33487 |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| ALCALAY, EDAN | Agent | 950 PENINSULA CORPORATE CIRCLE, SUITE 3024, BOCA RATON, FL 33487 |
| Name | Role | Address |
|---|---|---|
| KOTHARI, PRITI M | Manager | 5550 GLADES RD, SUITE 304, BOCA RATON, FL 33431 |
| ALCALAY, EDAN M | Manager | 950 PENINSULA CORPORATE CIRCLE, SUITE 3024, BOCA RATON, FL 33487 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-10-01 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
