| Entity Name: | NUE LIFE MEDICAL GROUP (DE), P.A., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit Corporation |
| Status: | Active |
| Date Filed: | 04 Feb 2022 (3 years ago) |
| Document Number: | F22000000760 |
| FEI/EIN Number | 87-4686754 |
| Address: | 1323 SE 17TH ST, PMB 98804, FT LAUDERDALE, FL 33316 |
| Mail Address: | 1323 SE 17TH ST, PMB 98804, FT LAUDERDALE, FL 33316 |
| ZIP code: | 33316 |
| County: | Broward |
| Place of Formation: | DELAWARE |
| 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 | |||||||||||||||
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| 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 |
| Name | Role |
|---|---|
| CAPITOL CORPORATE SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| CHEN, DR. AN | PRESIDENT | 139 CENTRE ST STE 216, NEW YORK, NY 10013 |
| Name | Role | Address |
|---|---|---|
| CHEN, DR. AN | DIRECTOR | 139 CENTRE ST STE 216, NEW YORK, NY 10013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-26 | 1323 SE 17TH ST, PMB 98804, FT LAUDERDALE, FL 33316 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-26 | 1323 SE 17TH ST, PMB 98804, FT LAUDERDALE, FL 33316 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-30 |
| Foreign Profit | 2022-02-04 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
