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PURE WELLNESS MEDICAL FLORIDA PLLC

Company Details

Entity Name: PURE WELLNESS MEDICAL FLORIDA PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 21 Feb 2022 (3 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L22000071407
Address: 9033 Glades Road, Boca Raton, FL, 33434, US
Mail Address: 9033 Glades Road, Boca Raton, FL, 33434, US
ZIP code: 33434
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487300877 2022-02-24 2022-02-24 22 BYRNE PL, BERGENFIELD, NJ, 076211002, US 649 US HIGHWAY 1 STE 2, NORTH PALM BEACH, FL, 334084616, US

Contacts

Phone +1 844-335-7873
Fax 8443357873

Authorized person

Name DR. DAVID SUAREZ
Role OWNER/MEDICAL DIRECTOR
Phone 8443357873

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role
LEGALINC CORPORATE SERVICES INC. Agent

Managing Member

Name Role Address
SUAREZ DAVID Managing Member 649 US HWY 1, SUITE 2, NORTH PALM BEACH, FL, 33408

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000079103 PURE WELLNESS MEDICAL-BOCA ACTIVE 2022-07-01 2027-12-31 No data 9033 GLADES ROAD 200B, BOCA RATON, FL, 33434

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-09-19 9033 Glades Road, Ste C-1, Boca Raton, FL 33434 No data
CHANGE OF MAILING ADDRESS 2023-09-19 9033 Glades Road, Ste C-1, Boca Raton, FL 33434 No data
REGISTERED AGENT ADDRESS CHANGED 2022-10-10 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 No data

Documents

Name Date
Florida Limited Liability 2022-02-21

Date of last update: 02 Feb 2025

Sources: Florida Department of State