| Entity Name: | BIOWELL MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Apr 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: | L22000196792 |
| FEI/EIN Number | 883673708 |
| Address: | 1175 Creekside Pkwy, NAPLES, FL, 34108, US |
| Mail Address: | 1175 Creekside Pkwy, NAPLES, FL, 34108, US |
| ZIP code: | 34108 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013604727 | 2023-04-21 | 2023-04-21 | 1175 CREEKSIDE PKWY STE 300, NAPLES, FL, 341082068, US | 1175 CREEKSIDE PKWY STE 300, NAPLES, FL, 341082068, US | |||||||||||||
|
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| Phone | +1 844-276-9700 |
Authorized person
| Name | MARVIN DEGON IV |
| Role | OWNER |
| Phone | 7817082222 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEGON MARVIN EIV | Agent | 6596 MARBELLA LN., NAPLES, FL, 34105 |
| Name | Role | Address |
|---|---|---|
| LANDOW BRIAN H | Manager | 3601 HEMPSTEAD TURNPIKE SUITE 210, LEVITTOWN, NY, 11756 |
| DEGON MARVIN EIV | Manager | 6596 MARBELLA LN, NAPLES, FL, 34105 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-08-26 | 1175 Creekside Pkwy, UNIT 300, NAPLES, FL 34108 | No data |
| CHANGE OF MAILING ADDRESS | 2022-08-26 | 1175 Creekside Pkwy, UNIT 300, NAPLES, FL 34108 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2022-04-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
