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POIESIS MEDICAL, LLC

Company Details

Entity Name: POIESIS MEDICAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 15 May 2009 (16 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 08 Aug 2018 (7 years ago)
Document Number: L09000047576
FEI/EIN Number 270258690
Address: 151 Fern St, Jupiter, FL, 33458, US
Mail Address: 151 Fern St, Unit #1, Jupiter, FL, 33458, US
ZIP code: 33458
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538496328 2009-11-16 2012-01-11 250 TEQUESTA DRIVE, SUITE 200, TEQUESTA, FL, 334692765, US 250 TEQUESTA DRIVE, SUITE 200, TEQUESTA, FL, 334692765, US

Contacts

Phone +1 561-842-7560
Fax 5619724421

Authorized person

Name MR. GREGORY DEVIN WITA
Role PRESIDENT AND CEO
Phone 5618427560

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Central Index Key

CIK number Mailing Address Business Address Phone
1863014 151 FERN STREET, UNIT 1, JUPITER, FL, 33458 151 FERN STREET, UNIT 1, JUPITER, FL, 33458 (561) 842-7560

Filings since 2021-05-20

Form type D
File number 021-400054
Filing date 2021-05-20
File View File

Agent

Name Role Address
Johnson Charlene K Agent 151 Fern St, Jupiter, FL, 33458

President

Name Role Address
WIITA GREGORY President 151 Fern St, Jupiter, FL, 33458

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-02-08 151 Fern St, Unit #1, Jupiter, FL 33458 No data
CHANGE OF PRINCIPAL ADDRESS 2023-02-08 151 Fern St, Unit #1, Jupiter, FL 33458 No data
CHANGE OF MAILING ADDRESS 2023-02-08 151 Fern St, Unit #1, Jupiter, FL 33458 No data
REGISTERED AGENT NAME CHANGED 2020-04-27 Johnson, Charlene K No data
LC STMNT OF RA/RO CHG 2018-08-08 No data No data
LC AMENDMENT 2017-09-25 No data No data
LC STMNT OF RA/RO CHG 2017-09-13 No data No data
LC AMENDMENT AND NAME CHANGE 2009-05-26 POIESIS MEDICA, LLC No data

Documents

Name Date
ANNUAL REPORT 2024-03-24
ANNUAL REPORT 2023-02-08
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-01-25
ANNUAL REPORT 2020-04-27
ANNUAL REPORT 2019-04-20
CORLCRACHG 2018-08-08
ANNUAL REPORT 2018-01-22
LC Amendment 2017-09-25
CORLCRACHG 2017-09-13

Date of last update: 02 Feb 2025

Sources: Florida Department of State