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INNOVATIVE PHYSICIAN PARTNERS LLC

Company Details

Entity Name: INNOVATIVE PHYSICIAN PARTNERS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 27 May 2021 (4 years ago)
Document Number: L21000249347
FEI/EIN Number 87-0963288
Address: 1840 N COMMERCE PARKWAY, SUITE 3, WESTON, FL 33326
Mail Address: 1840 N COMMERCE PARKWAY, SUITE 3, WESTON, FL 33326
ZIP code: 33326
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225793565 2021-11-02 2021-11-02 1840 N COMMERCE PKWY STE 3, WESTON, FL, 333263222, US 1840 N COMMERCE PKWY STE 3, WESTON, FL, 333263222, US

Contacts

Phone +1 800-698-7142
Fax 8332165148

Authorized person

Name MRS. MARY HEWITT
Role PRESIDENT
Phone 8006987142

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Agent

Name Role Address
HEWITT, MARY Agent 1840 N COMMERCE PARKWAY, SUITE 3, WESTON, FL 33326

Manager

Name Role Address
HEWITT, MARY Manager 1840 N COMMERCE PARKWAY, STE 3 WESTON, FL 33326

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-03-02
Florida Limited Liability 2021-05-27

Date of last update: 13 Feb 2025

Sources: Florida Department of State