| Entity Name: | FLORIDA CONCIERGE MEDICINE & WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Dec 2020 (4 years ago) |
| Document Number: | L20000381702 |
| FEI/EIN Number | 86-1225772 |
| Address: | 5555 HOLLYWOOD BLVD, SUITE #201, HOLLYWOOD, FL 33021 |
| Mail Address: | 5555 HOLLYWOOD BLVD, SUITE #201, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013585868 | 2021-06-16 | 2024-01-22 | 5555 HOLLYWOOD BLVD STE 201, HOLLYWOOD, FL, 330216420, US | 5555 HOLLYWOOD BLVD STE 201, HOLLYWOOD, FL, 330216420, US | |||||||||||||||
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| Phone | +1 954-932-3269 |
| Fax | 9543617994 |
Authorized person
| Name | DR. GERARD FRANTZ ACLOQUE JR. |
| Role | OWNER |
| Phone | 9549323269 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ACLOQUE, GERARD F | Agent | 5555 HOLLYWOOD BLVD, SUITE #201, HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| ACLOQUE, GERARD Frantz, Dr. | Manager | 5555 HOLLYWOOD BLVD, SUITE #201 HOLLYWOOD, FL 33021 |
| Acloque, LaKeysha Natasha | Manager | 5555 HOLLYWOOD BLVD, SUITE #201 HOLLYWOOD, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-04-30 | 5555 HOLLYWOOD BLVD, SUITE #201, HOLLYWOOD, FL 33021 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-30 | 5555 HOLLYWOOD BLVD, SUITE #201, HOLLYWOOD, FL 33021 | No data |
| 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 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
