| Entity Name: | NEW CARE MEDICAL AND WELLNESS GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jan 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 04 May 2021 (4 years ago) |
| Document Number: | L21000043408 |
| FEI/EIN Number | 861962858 |
| Address: | 14645 NW 77th ave, Miami Lakes, FL, 33014, US |
| Mail Address: | 14645 NW 77th ave, Miami Lakes, FL, 33014, US |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689256216 | 2021-04-23 | 2024-05-01 | 14645 NW 77TH AVE STE 104, MIAMI LAKES, FL, 330142569, US | 14645 NW 77TH AVE STE 104, MIAMI LAKES, FL, 330142569, US | |||||||||||||||||||||
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| Phone | +1 305-342-0651 |
| Fax | 3054020941 |
Authorized person
| Name | BRISMAY CASTELLON |
| Role | OWNER |
| Phone | 3053420651 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | APRN9261083 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CASTELLON BRISMAY | Agent | 14645 NW 77th ave, Miami Lakes, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| CASTELLON BRISMAY | Manager | 14645 NW 77TH AVE, MIAMI LAKES, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-01 | 14645 NW 77th ave, 104, Miami Lakes, FL 33014 | No data |
| CHANGE OF MAILING ADDRESS | 2021-06-01 | 14645 NW 77th ave, 104, Miami Lakes, FL 33014 | No data |
| LC AMENDMENT | 2021-05-04 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-02-04 |
| LC Amendment | 2021-05-04 |
| Florida Limited Liability | 2021-01-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
