| Entity Name: | AGAPE MOBILE MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Apr 2022 (3 years ago) |
| Document Number: | L22000203008 |
| FEI/EIN Number | 88-2333589 |
| Address: | 2050 OLEANDER BLVD, APT 1-203, FORT PIERCE, FL 34950 |
| Mail Address: | 2050 OLEANDER BLVD, APT 1-203, FORT PIERCE, FL 34950 |
| ZIP code: | 34950 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043957350 | 2022-05-18 | 2022-05-18 | 2050 OLEANDER BLVD APT 1-203, FORT PIERCE, FL, 349505315, US | 2050 OLEANDER BLVD APT 1-203, FORT PIERCE, FL, 349505315, US | |||||||||||||||||||||||
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| Phone | +1 877-724-2736 |
| Phone | +1 772-834-1024 |
Authorized person
| Name | MRS. REBECCA LURIE |
| Role | APRN |
| Phone | 8777242736 |
Taxonomy
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LG0600X - Gerontology Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LURIE, REBECCA | Agent | 2050 OLEANDER BLVD, APT 1-203, FORT PIERCE, FL 34950 |
| Name | Role | Address |
|---|---|---|
| LURIE, REBECCA | Authorized Representative | 2050 OLEANDER BLVD 1-203, FORT PIERCE, FL 34950 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-01-24 |
| Florida Limited Liability | 2022-04-28 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
