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FAMILY MEDICAL CLINIC AND WELLNESS "LLC" - Florida Company Profile

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Company Details

Entity Name: FAMILY MEDICAL CLINIC AND WELLNESS "LLC"
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 May 2020 (5 years ago)
Last Event: LC AMENDMENT AND NAME CHANGE
Event Date Filed: 08 Mar 2023 (2 years ago)
Document Number: L20000146738
FEI/EIN Number 85-1259454
Address: 7736 Greenbrier cir, Port St Lucie, FL, 34986, US
Mail Address: 7736 Greenbrier cir, Port St Lucie, FL, 34986, US
ZIP code: 34986
City: Port Saint Lucie
County: St. Lucie
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VITOUS TERESA Dr. Chief Executive Officer 7736 Greenbrier cir, Port St Lucie, FL, 34986
VITOUS TERESA Agent 7736 Greenbrier cir, Port St Lucie, FL, 34986

National Provider Identifier

NPI Number:
1801676556
Certification Date:
2023-10-01

Authorized Person:

Name:
DR. TERESA A KOWALCZYK VITOUS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
LC AMENDMENT AND NAME CHANGE 2023-03-08 FAMILY MEDICAL CLINIC AND WELLNESS "LLC" -
CHANGE OF PRINCIPAL ADDRESS 2021-03-02 7736 Greenbrier cir, Port St Lucie, FL 34986 -
CHANGE OF MAILING ADDRESS 2021-03-02 7736 Greenbrier cir, Port St Lucie, FL 34986 -
REGISTERED AGENT ADDRESS CHANGED 2021-03-02 7736 Greenbrier cir, Port St Lucie, FL 34986 -

Documents

Name Date
ANNUAL REPORT 2024-03-28
LC Amendment and Name Change 2023-03-08
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-03-05
ANNUAL REPORT 2021-03-02
Florida Limited Liability 2020-05-29

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Date of last update: 03 Aug 2025

Sources: Florida Department of State