Entity Name: | HUMANITY MD LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 08 Jun 2017 (8 years ago) |
Document Number: | L17000125256 |
FEI/EIN Number | 82-1801898 |
Address: | 2889 N MILLER DR, PALM BEACH GARDENS, FL, 33410 |
Mail Address: | 2889 N MILLER DR, PALM BEACH GARDENS, FL, 33410 |
ZIP code: | 33410 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1154078400 | 2022-03-07 | 2022-03-07 | 1630 S CONGRESS AVE STE 100, PALM SPRINGS, FL, 334612171, US | 1630 S CONGRESS AVE STE 100, PALM SPRINGS, FL, 334612171, US | |||||||||||||||
|
Phone | +1 561-472-2888 |
Fax | 5614722889 |
Authorized person
Name | COLT R DUNTEMAN |
Role | PHYSICIAN/OWNER |
Phone | 5616022737 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DUNTEMAN COLT R | Agent | 2889 N. MILLER DR, PALM BEACH GARDENS, FL, 33410 |
Name | Role | Address |
---|---|---|
DUNTEMAN COLT R | Manager | 2889 N. MILLER DR, PALM BEACH GARDENS, FL, 33410 |
Dunteman Katie | Manager | 2889 N miller dr, palm beach gardens, FL, 33410 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-14 |
ANNUAL REPORT | 2023-04-23 |
ANNUAL REPORT | 2022-04-19 |
ANNUAL REPORT | 2021-04-11 |
ANNUAL REPORT | 2020-06-07 |
ANNUAL REPORT | 2019-05-01 |
ANNUAL REPORT | 2018-04-24 |
Florida Limited Liability | 2017-06-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State