| 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: | 2151 SW BARTHEL STREET, PORT SAINT LUCIE, FL, 34984, US |
| Mail Address: | 2151 SW BARTHEL STREET, PORT SAINT LUCIE, FL, 34984, US |
| ZIP code: | 34984 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720616014 | 2020-03-31 | 2020-03-31 | 2151 SW BARTHEL ST, PORT SAINT LUCIE, FL, 349844301, US | 2151 SW BARTHEL ST, PORT SAINT LUCIE, FL, 349844301, US | |||||||||||||||||||||||||||||||
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| Phone | +1 772-785-9419 |
| Fax | 7727859419 |
Authorized person
| Name | KATHERINE N WILLINGHAM |
| Role | APRN |
| Phone | 7727859419 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WILLINGHAM KATHERINE N | Agent | 2151 SW BARTHEL STREET, PORT SAINT LUCIE, FL, 34984 |
| Name | Role | Address |
|---|---|---|
| WILLINGHAM KATHERINE N | Authorized Member | 2151 SW BARTHEL STREET, PORT SAINT LUCIE, FL, 34984 |
| 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 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
