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PANAMA CITY BEACH MEDICAL SOLUTIONS, LLC

Company Details

Entity Name: PANAMA CITY BEACH MEDICAL SOLUTIONS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Feb 2020 (5 years ago)
Document Number: L20000043584
FEI/EIN Number 84-4605715
Mail Address: 9044 SE BRIDGE RD., HOBE SOUND, FL, 33455
Address: 2318 ST. ANDREWS BLVD., PANAMA CITY, FL, 32405
ZIP code: 32405
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730712076 2020-02-14 2020-02-14 9044 SE BRIDGE RD, HOBE SOUND, FL, 334555313, US 2318 SAINT ANDREWS BLVD, PANAMA CITY, FL, 324052168, US

Contacts

Phone +1 772-546-9591

Authorized person

Name JENEANE M WAKULA
Role OFFICE MANAGER
Phone 7725469591

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
DORFMAN DAVID J Agent 1173 ELEUTHERA DR. NE, PALM BAY, FL, 32905

Member

Name Role
DTFP LLC Member
SHORES CHIROPRACTIC, LLC Member

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-07-31
ANNUAL REPORT 2021-04-30
Florida Limited Liability 2020-02-06

Date of last update: 02 Feb 2025

Sources: Florida Department of State