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WELL-BEING MEDICAL CENTER PLLC

Company Details

Entity Name: WELL-BEING MEDICAL CENTER PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Jul 2019 (6 years ago)
Document Number: L19000187730
FEI/EIN Number 84-2605544
Address: 851 5th Ave. N, Naples, FL, 34102, US
Mail Address: 851 5th Ave. N., Naples, FL, 34102, US
ZIP code: 34102
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265075022 2019-10-24 2023-02-17 851 5TH AVE N STE 102, NAPLES, FL, 341025582, US 851 5TH AVE N STE 102, NAPLES, FL, 341025582, US

Contacts

Phone +1 239-315-7801
Fax 2399198841

Authorized person

Name RICARDO MARTINEZ
Role AUTHORIZED OFFICIAL
Phone 2393157801

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICARE
Number L1428
State FL
Issuer MEDICAID
Number 104729800
State FL
Issuer BCBS FL
Number ROVYL
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WELL-BEING MEDICAL CENTER PLLC 2023 842605544 2024-09-02 WELL-BEING MEDICAL CENTER PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-07-01
Business code 621111
Sponsor’s telephone number 7862107931
Plan sponsor’s address 851 5TH, SUITE 102, NAPLES, FL, 34102

Signature of

Role Plan administrator
Date 2024-09-02
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
WELL-BEING MEDICAL CENTER PLLC 2022 842605544 2023-07-07 WELL-BEING MEDICAL CENTER PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-07-01
Business code 621111
Sponsor’s telephone number 7862107931
Plan sponsor’s address 851 5TH, SUITE 102, NAPLES, FL, 34102

Signature of

Role Plan administrator
Date 2023-07-07
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
WELL-BEING MEDICAL CENTER PLLC 2021 842605544 2022-07-27 WELL-BEING MEDICAL CENTER PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-07-01
Business code 621111
Sponsor’s telephone number 7862107931
Plan sponsor’s address 851 5TH, SUITE 102, NAPLES, FL, 34102

Signature of

Role Plan administrator
Date 2022-07-27
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
WELL-BEING MEDICAL CENTER PLLC 2020 842605544 2021-08-05 WELL-BEING MEDICAL CENTER PLLC 0
Three-digit plan number (PN) 001
Effective date of plan 2020-07-01
Business code 621111
Sponsor’s telephone number 2393157801
Plan sponsor’s address 851 5TH AVE N., SUITE 102, NAPLES, FL, 34117

Signature of

Role Plan administrator
Date 2021-08-05
Name of individual signing RICARDO MARTINEZ
Valid signature Filed with authorized/valid electronic signature
WELL-BEING MEDICAL CENTER PLLC 2020 842605544 2021-08-12 WELL-BEING MEDICAL CENTER PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-07-01
Business code 621111
Sponsor’s telephone number 2393157801
Plan sponsor’s address 851 5TH AVE N., SUITE 102, NAPLES, FL, 34117

Signature of

Role Plan administrator
Date 2021-08-12
Name of individual signing RICARDO MARTINEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MINCK LINDA R Agent 5629 STRAND BLVD., NAPLES, FL, 34110

Manager

Name Role Address
MARTINEZ RICARDO Manager 851 5th Ave. N, Naples, FL, 34102

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-01-15 851 5th Ave. N, 102, Naples, FL 34102 No data
CHANGE OF MAILING ADDRESS 2020-01-15 851 5th Ave. N, 102, Naples, FL 34102 No data

Documents

Name Date
ANNUAL REPORT 2024-01-18
ANNUAL REPORT 2023-01-05
ANNUAL REPORT 2022-01-19
ANNUAL REPORT 2021-01-22
ANNUAL REPORT 2020-01-15
Florida Limited Liability 2019-07-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State