Search icon

NUE LIFE MEDICAL GROUP (DE), P.A., INC. - Florida Company Profile

Company Details

Entity Name: NUE LIFE MEDICAL GROUP (DE), P.A., INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
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: 04 Feb 2022 (3 years ago)
Document Number: F22000000760
FEI/EIN Number 87-4686754

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1323 SE 17TH ST, PMB 98804, FT LAUDERDALE, FL, 33316, US
Mail Address: 1323 SE 17TH ST, PMB 98804, FT LAUDERDALE, FL, 33316, US
ZIP code: 33316
County: Broward
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578216875 2022-01-27 2022-12-26 309 23RD ST STE 230, MIAMI BEACH, FL, 331391700, US 309 23RD ST STE 230, MIAMI BEACH, FL, 331391700, US

Contacts

Phone +1 305-985-6170
Fax 3059856170

Authorized person

Name DR. BEN MEDRANO
Role PRESIDENT
Phone 3059856170

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary Yes

Key Officers & Management

Name Role Address
CHEN DR. AN President 139 CENTRE ST STE 216, NEW YORK, NY, 10013
CAPITOL CORPORATE SERVICES, INC. Agent -

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-26 1323 SE 17TH ST, PMB 98804, FT LAUDERDALE, FL 33316 -
CHANGE OF MAILING ADDRESS 2024-04-26 1323 SE 17TH ST, PMB 98804, FT LAUDERDALE, FL 33316 -

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-04-30
Foreign Profit 2022-02-04

Date of last update: 01 Apr 2025

Sources: Florida Department of State