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KNW MEDICAL SERVICES LLC - Florida Company Profile

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Company Details

Entity Name: KNW MEDICAL SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Feb 2020 (5 years ago)
Document Number: L20000063090
FEI/EIN Number 85-0574599
Address: 11582 SW Village Pkwy #1101, PORT SAINT LUCIE, FL, 34987, US
Mail Address: 11582 SW Village Pkwy #1101, PORT SAINT LUCIE, FL, 34987, US
ZIP code: 34987
City: Port Saint Lucie
County: St. Lucie
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WILLINGHAM KATHERINE N Authorized Member 11582 SW Village Pkwy #1101, PORT SAINT LUCIE, FL, 34987
WILLINGHAM KATHERINE N Agent 11582 SW Village Pkwy #1101, PORT SAINT LUCIE, FL, 34987

National Provider Identifier

NPI Number:
1720616014
Certification Date:
2020-03-31

Authorized Person:

Name:
KATHERINE N WILLINGHAM
Role:
APRN
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
251F00000X - Home Infusion Agency
Is Primary:
No
Selected Taxonomy:
261QI0500X - Infusion Therapy Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
251J00000X - Nursing Care Agency
Is Primary:
Yes

Contacts:

Fax:
7727859419

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-04-13
Florida Limited Liability 2020-02-25

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Date of last update: 01 Aug 2025

Sources: Florida Department of State