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RENEWED WELLNESS MEDICAL CENTER LLC

Company Details

Entity Name: RENEWED WELLNESS MEDICAL CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 08 Apr 2019 (6 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 26 Apr 2019 (6 years ago)
Document Number: L19000097395
FEI/EIN Number 83-4439384
Address: 4047 OKEECHOBEE BLVD., #126, WEST PALM BEACH, FL 33409
Mail Address: 4047 OKEECHOBEE BLVD., #126, WEST PALM BEACH, FL 33409
ZIP code: 33409
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699338434 2019-04-17 2019-04-17 4047 OKEECHOBEE BLVD STE 126, WEST PALM BEACH, FL, 334093225, US 4047 OKEECHOBEE BLVD STE 126, WEST PALM BEACH, FL, 334093225, US

Contacts

Phone +1 561-619-8160

Authorized person

Name JOSEPH TAYLOR
Role OWNER
Phone 5617237701

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role Address
TAYLOR, JOSEPH L, DR Agent 4047 OKEECHOBEE BLVD, #126, WEST PALM BEACH, FL 33409

Authorized Member

Name Role Address
TAYLOR, KARINA L, DR Authorized Member 4047 OKEECHOBEE BLVD. #126, WEST PALM BEACH, FL 33409
TAYLOR, JOSEPH, DR Authorized Member 4047 OKEECHOBEE BLVD. #126, WEST PALM BEACH, FL 33409

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000072882 RENEWED WELLNESS INTEGRATIVE MEDCIAL CENTER EXPIRED 2019-07-01 2024-12-31 No data 4047 OKEECHOBEE BLVD. #126, WEST PALM BEACH, FL, 33409
G19000072889 RENEWED WELLNESS INTEGRATIVE MEDICAL CENTER EXPIRED 2019-07-01 2024-12-31 No data 4047 OKEECHOBEE BLVD. #126, WEST PALM BEACH, FL, 33409

Events

Event Type Filed Date Value Description
LC AMENDMENT 2019-04-26 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-02-05
ANNUAL REPORT 2022-03-06
ANNUAL REPORT 2021-01-09
ANNUAL REPORT 2020-03-18
LC Amendment 2019-04-26
Florida Limited Liability 2019-04-08

Date of last update: 16 Feb 2025

Sources: Florida Department of State