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NUGENESIS MEDICAL LLC

Company Details

Entity Name: NUGENESIS MEDICAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 21 Jan 2021 (4 years ago)
Document Number: L21000042013
FEI/EIN Number 86-1597280
Address: 2275 ALOMA AVE, WINTER PARK, FL 32792
Mail Address: 4027 LAKESIDE RESERVE COURT, ORLANDO, FL 32810 UN
ZIP code: 32792
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467107441 2022-02-17 2022-02-17 2275 ALOMA AVE, WINTER PARK, FL, 327923303, US 2275 ALOMA AVE, WINTER PARK, FL, 327923303, US

Contacts

Phone +1 407-743-2627

Authorized person

Name MRS. TERI HOLMBECK
Role MANAGER
Phone 4077432627

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
HOLMBECK, TERI M Agent 4027 LAKESIDE RESERVE COURT, ORLANDO, FL 32810

Authorized Representative

Name Role Address
HOLMBECK, TERI M Authorized Representative 4027 LAKESIDE RESERVE COURT, ORLANDO, FL 32810 UN

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-08-26 2275 ALOMA AVE, WINTER PARK, FL 32792 No data

Documents

Name Date
ANNUAL REPORT 2025-01-21
ANNUAL REPORT 2024-01-18
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-06
Florida Limited Liability 2021-01-21

Date of last update: 14 Feb 2025

Sources: Florida Department of State