| Entity Name: | MEDIMORE MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jun 2021 (4 years ago) |
| Document Number: | L21000292179 |
| FEI/EIN Number | 871355905 |
| Address: | 12797 Forest Hill Blvd, suite b, wellington, FL, 33414, US |
| Mail Address: | 12797 Forest Hill Blvd, suite b, wellington, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861167686 | 2021-08-13 | 2022-12-08 | 12797 FOREST HILL BLVD STE B, WELLINGTON, FL, 334144763, US | 12797 FOREST HILL BLVD STE B, WELLINGTON, FL, 334144763, US | |||||||||||||||
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| Phone | +1 561-467-5232 |
| Fax | 5614611320 |
Authorized person
| Name | JUAN F. ZAPATA |
| Role | MANAGING MEMBER |
| Phone | 2394705539 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZAPATA JUAN F | Agent | 12797 Forest Hill Blvd, wellington, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| ZAPATA JUAN F | Managing Member | 12797 Forest Hill Blvd, wellington, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| ZAPATA PAOLA A | Manager | 7070 SEMINOLE PRATT WHITNEY RD, STE 5, LOXAHATCHEE, FL, 33470 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-24 | 12797 Forest Hill Blvd, suite b, wellington, FL 33414 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-17 | 12797 Forest Hill Blvd, suite b, wellington, FL 33414 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-17 | 12797 Forest Hill Blvd, suite b, wellington, FL 33414 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-01 |
| Florida Limited Liability | 2021-06-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
