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FLORIDA CONCIERGE MEDICINE & WELLNESS LLC - Florida Company Profile

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Company Details

Entity Name: FLORIDA CONCIERGE MEDICINE & WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Dec 2020 (5 years ago)
Document Number: L20000381702
FEI/EIN Number 86-1225772
Mail Address: 5555 HOLLYWOOD BLVD, SUITE #201, HOLLYWOOD, FL, 33021, US
Address: 5555 HOLLYWOOD BLVD, SUITE #201, HOLLYWOOD, FL, 33021
ZIP code: 33021
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ACLOQUE GERARD FDr. Manager 5555 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021
Acloque LaKeysha N Manager 5555 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021
ACLOQUE GERARD F Agent 5555 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021

National Provider Identifier

NPI Number:
1013585868
Certification Date:
2024-01-22

Authorized Person:

Name:
DR. GERARD FRANTZ ACLOQUE JR.
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9543617994

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-04-30 5555 HOLLYWOOD BLVD, SUITE #201, HOLLYWOOD, FL 33021 -
REGISTERED AGENT ADDRESS CHANGED 2021-04-30 5555 HOLLYWOOD BLVD, SUITE #201, HOLLYWOOD, FL 33021 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-04-30
Florida Limited Liability 2020-12-07

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Date of last update: 01 Aug 2025

Sources: Florida Department of State