Entity Name: | IDO CARE MD LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 13 May 2021 (4 years ago) |
Last Event: | LC AMENDMENT AND NAME CHANGE |
Event Date Filed: | 13 Nov 2023 (a year ago) |
Document Number: | L21000224376 |
FEI/EIN Number | 87-1257743 |
Address: | 255 SE CALMO CIRCLE, PORT ST. LUCIE, FL, 34984 |
Mail Address: | 255 SE CALMO CIRCLE, PORT ST. LUCIE, FL, 34984 |
ZIP code: | 34984 |
County: | St. Lucie |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1184402810 | 2023-09-14 | 2023-10-27 | 255 SE CALMO CIR, PORT SAINT LUCIE, FL, 349846626, US | 255 SE CALMO CIR, PORT SAINT LUCIE, FL, 349846626, US | |||||||||||||||
|
Name | STELLA MEDINA LEWIS |
Role | OWNER/PROVIDER |
Phone | 7875462795 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | No |
Taxonomy Code | 207RI0200X - Infectious Disease Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MEDINA LEWIS STELLA I | Agent | 255 SE CALMO CIRLE, PORT ST. LUCIE, FL, 34984 |
Name | Role | Address |
---|---|---|
MEDINA LEWIS STELLA I | Manager | 255 SE CALMO CIRCLE, PORT ST LUCIE, FL, 34984 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2024-02-16 | MEDINA LEWIS, STELLA I | No data |
LC AMENDMENT AND NAME CHANGE | 2023-11-13 | IDO CARE MD LLC | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-16 |
LC Amendment and Name Change | 2023-11-13 |
ANNUAL REPORT | 2023-04-12 |
ANNUAL REPORT | 2022-02-21 |
Florida Limited Liability | 2021-05-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State