| Entity Name: | VERIMED HEALTH GROUP BELL SHOALS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Jul 2022 (3 years ago) |
| Document Number: | L22000314169 |
| FEI/EIN Number | 88-3276800 |
| Address: | 1150 BELL SHOALS ROAD, BRANDON, FL 33511 |
| Mail Address: | 1150 BELL SHOALS ROAD, BRANDON, FL 33511 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750018560 | 2022-08-02 | 2022-08-02 | 26838 TANIC DR, WESLEY CHAPEL, FL, 335444617, US | 1150 BELL SHOALS RD, BRANDON, FL, 335119001, US | |||||||||||||||
|
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| Phone | +1 813-991-4000 |
| Phone | +1 813-681-6064 |
Authorized person
| Name | MR. MARTIN REVELLO |
| Role | CEO |
| Phone | 8139914000 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REVELLO, MARTIN | Agent | 26838 TANIC DRIVE, WESLEY CHAPEL, FL 33544 |
| Name | Role |
|---|---|
| JJAM HEALTHCARE HOLDINGS, LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-09-06 | 1150 BELL SHOALS ROAD, BRANDON, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-03-22 |
| Florida Limited Liability | 2022-07-14 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
