| Entity Name: | DOCTOR OF WOMEN'S HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Mar 2017 (8 years ago) |
| Document Number: | L17000056729 |
| FEI/EIN Number | 82-0828018 |
| Address: | 65 E Nasa Blvd, MELBOURNE, FL, 32901, US |
| Mail Address: | 65 E Nasa Blvd, MELBOURNE, FL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508399619 | 2017-04-05 | 2022-12-07 | 65 E NASA BLVD STE 101, MELBOURNE, FL, 329011961, US | 65 E NASA BLVD STE 101, MELBOURNE, FL, 329011961, US | |||||||||||||||||||||||||||
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| Phone | +1 321-802-5655 |
| Fax | 3218025656 |
Authorized person
| Name | DR. ANTONIA RENEE MCDOWELL |
| Role | PHYSICAL THERAPIST |
| Phone | 3214126893 |
Taxonomy
| Taxonomy Code | 224Z00000X - Occupational Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ROBERTS DAN | Agent | 1702 N. WICKHAM ROAD, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| MC DOWELL ANTONIA R | Authorized Member | 8745 S Tropical Trail, Merritt Island, FL, 32952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-30 | 65 E Nasa Blvd, Suite 101, MELBOURNE, FL 32901 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-30 | 65 E Nasa Blvd, Suite 101, MELBOURNE, FL 32901 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-08-24 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-09-15 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-09-12 |
| ANNUAL REPORT | 2018-04-25 |
| Florida Limited Liability | 2017-03-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
