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DOUGLAS M TEW MD LLC - Florida Company Profile

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Company Details

Entity Name: DOUGLAS M TEW MD LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Dec 2018 (7 years ago)
Document Number: L18000288892
FEI/EIN Number 83-2642606
Address: 2301 PARK AVE, 209, ORANGE PARK, FL, 32073
Mail Address: 3527 WESTOVER ROAD, FLEMING ISLAND, FL, 32003
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TEW DOUGLAS MMD Manager 3527 WESTOVER ROAD, FLEMING ISLAND, FL, 32003
NICHOLS GROUP PA Agent 1635 EAGLE HARBOR PKWY, FLEMING ISLAND, FL, 32003

National Provider Identifier

NPI Number:
1114482494

Authorized Person:

Name:
DR. DOUGLAS M TEW
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-03-25
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-02-24
ANNUAL REPORT 2021-04-18
ANNUAL REPORT 2020-04-04
Florida Limited Liability 2018-12-17

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Date of last update: 01 Aug 2025

Sources: Florida Department of State