| Entity Name: | KEWW PRIMARY CARE CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Feb 2021 (4 years ago) |
| Document Number: | L21000066998 |
| FEI/EIN Number | 861241067 |
| Address: | 200 Congress park Drive, DELRAY BEACH, FL, 33445, US |
| Mail Address: | 6337 COUNTRY FAIR CIRCLE, BOYNTON BEACH, FL, 33437, US |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386401123 | 2024-02-28 | 2024-02-28 | 200 CONGRESS PARK DR STE 214, DELRAY BEACH, FL, 334454688, US | 200 CONGRESS PARK DR STE 214, DELRAY BEACH, FL, 334454688, US | |||||||||||||||
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| Phone | +1 561-758-1205 |
| Fax | 5618657072 |
Authorized person
| Name | ERLA M PIERRE |
| Role | OWNER |
| Phone | 5617581205 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAYMOND FILORIMO | Agent | 5275 LONGSPUR LANE, PALM SPRINGS, FL, 34990 |
| Name | Role | Address |
|---|---|---|
| PIERRE ERLA M | Manager | 6337 COUNTRY FAIR CIRCLE, BOYNTON BEACH, FL, 33437 |
| Name | Role | Address |
|---|---|---|
| PIERRE WAKLIN I | Authorized Person | 6337 COUNTRY FAIR CIRCLE, BOYNTON BEACH, FL, 33437 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-24 | 200 Congress park Drive, SUITE 214, DELRAY BEACH, FL 33445 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-01-24 |
| Florida Limited Liability | 2021-02-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
