| Entity Name: | WOUND HEALERS MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Mar 2022 (3 years ago) |
| Document Number: | L22000124680 |
| FEI/EIN Number | 88-0733717 |
| Address: | 2040 11TH STREET NOTH, SAINT PETERSBURG, FL, 33704, US |
| Mail Address: | 2040 11TH STREET NOTH, SAINT PETERSBURG, FL, 33704, US |
| ZIP code: | 33704 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225771157 | 2022-04-19 | 2024-05-28 | 2040 11TH ST N, SAINT PETERSBURG, FL, 337044142, US | 7501 38TH AVE N, SAINT PETERSBURG, FL, 337101230, US | |||||||||||||||||||||
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| Phone | +1 904-518-7127 |
| Fax | 7279546904 |
| Phone | +1 727-345-9307 |
Authorized person
| Name | DR. LOUIS MAZZELLA |
| Role | OWNER/AUTHORIZED OFFICIAL |
| Phone | 9045187127 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MAZZELLA LOUIS | Agent | 751 40AVE NORTH, SAINT PETERSBURG, FL, 33703 |
| Name | Role | Address |
|---|---|---|
| MAZZELLA LOUIS MD | Managing Member | 751 40AVE NORTH, SAINT PETERSBURG, FL, 33703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-29 | 2040 11TH STREET NOTH, SAINT PETERSBURG, FL 33704 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-29 | 2040 11TH STREET NOTH, SAINT PETERSBURG, FL 33704 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-02-11 |
| Florida Limited Liability | 2022-03-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
