| Entity Name: | MEDA-PEUTICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Aug 2018 (6 years ago) |
| Document Number: | L18000205585 |
| FEI/EIN Number | 61-1906457 |
| Address: | 2950 W Cypress Creek Road, Fort Lauderdale, FL, 33309, US |
| Mail Address: | 2950 W Cypress Creek Road, Fort Lauderdale, FL, 33309, US |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992370803 | 2021-05-24 | 2021-07-13 | 11451 SW 43RD DR APT 7203, MIRAMAR, FL, 330258042, US | 11451 SW 43RD DR APT 7203, MIRAMAR, FL, 330258042, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-609-4902 |
Authorized person
| Name | DR. JUSTIN R COLEMAN |
| Role | PROVIDER |
| Phone | 3056094902 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 111NN1001X - Nutrition Chiropractor |
| Is Primary | No |
| Taxonomy Code | 171000000X - Military Health Care Provider |
| Is Primary | No |
| Taxonomy Code | 171400000X - Health & Wellness Coach |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| COLEMAN JUSTIN R | Agent | 2950 W Cypress Creek Road, Fort Lauderdale, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| HOWELL REBECCA A | Owner | 1721 SE 17TH STRRET APT 218, FORT LAUDERDALE, FL, 33316 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-31 | 2950 W Cypress Creek Road, Suite 101 PMB 1026, Fort Lauderdale, FL 33309 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-31 | 2950 W Cypress Creek Road, Suite 101 PMB 1026, Fort Lauderdale, FL 33309 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-31 | COLEMAN, JUSTIN R | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-31 | 2950 W Cypress Creek Road, Suite 101 PMB 1026, Fort Lauderdale, FL 33309 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-03-31 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-06-20 |
| ANNUAL REPORT | 2019-04-22 |
| Florida Limited Liability | 2018-08-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
