| Entity Name: | HARBOUR MEDICAL CENTERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Jan 2021 (4 years ago) |
| Document Number: | L21000039005 |
| FEI/EIN Number | 88-0643993 |
| Address: | 1411 SE OCEAN BLVD., STUART, FL, 34996, US |
| Mail Address: | 1411 SE OCEAN BLVD., STUART, FL, 34996, US |
| ZIP code: | 34996 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104530294 | 2023-01-12 | 2023-01-12 | 1411 SE OCEAN BLVD, STUART, FL, 349962651, US | 1411 SE OCEAN BLVD, STUART, FL, 349962651, US | |||||||||||||||||||
|
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| Phone | +1 772-781-1101 |
| Fax | 7727811141 |
Authorized person
| Name | MISS OLGA PURA VEIGA |
| Role | BILLING/INSURANCE |
| Phone | 7727811101 |
Taxonomy
| Taxonomy Code | 111NR0400X - Rehabilitation Chiropractor |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WIEDNER WILLIAM | Agent | 1411 SE OCEAN BLVD., STUART, FL, 34996 |
| Name | Role | Address |
|---|---|---|
| WIEDNER WILLIAM | Authorized Member | 1411 SE OCEAN BLVD., STUART, FL, 34996 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-07 | 1411 SE OCEAN BLVD., STUART, FL 34996 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-07 | 1411 SE OCEAN BLVD., STUART, FL 34996 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-07 | 1411 SE OCEAN BLVD., STUART, FL 34996 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-04-03 |
| Florida Limited Liability | 2021-01-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
