| Entity Name: | G&W GRACE MEDICAL CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jul 2021 (4 years ago) |
| Document Number: | L21000334753 |
| FEI/EIN Number | 871832587 |
| Address: | 2001 Palm Beach Lakes Blvd Ste 502F, WEST PALM BEACH, FL, 33409, US |
| Mail Address: | 621 PEPPERGRASS RUN, ROYAL PALM BEACH, FL, 33411, US |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750125571 | 2024-06-25 | 2024-06-25 | 621 PEPPERGRASS RUN, ROYAL PALM BEACH, FL, 334114235, US | 2001 PALM BEACH LAKES BLVD STE 300G, WEST PALM BCH, FL, 334096514, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 754-235-3193 |
Authorized person
| Name | WILKINSCIA MERILANDE JEAN PHILIPPE |
| Role | OWNER |
| Phone | 7542353193 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JEAN PHILLIPPE WILKINSCIA M | Agent | 621 PEPPERGRASS RUN, ROYAL PALM BEACH, FL, 33411 |
| Name | Role | Address |
|---|---|---|
| JEAN PHILIPPE WILKINSCIA M | Authorized Person | 621 PEPPERGRASS RUN, ROYAL PALM BEACH, FL, 33411 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000148906 | G&W GRACE MEDICAL CLINIC | ACTIVE | 2024-12-09 | 2029-12-31 | No data | 621 PEPPERGRASS RUN, ROYAL PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-24 | 2001 Palm Beach Lakes Blvd Ste 502F, WEST PALM BEACH, FL 33409 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-26 |
| Florida Limited Liability | 2021-07-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
