| Entity Name: | UNIVERSAL MEDICAL AND WELLNESS CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Jul 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 11 Apr 2023 (2 years ago) |
| Document Number: | L22000333445 |
| FEI/EIN Number | 88-3470532 |
| Address: | 2500 E HALLANDALE BEACH BLVD., SUITE 406, HALLANDALE, FL 33009 |
| Mail Address: | 600 THREE ISLANDS BLVD, #812, HALLANDALE, FL 33009 |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174236566 | 2022-12-30 | 2022-12-30 | 600 THREE ISLANDS BLVD APT 812, HALLANDALE BEACH, FL, 330097809, US | 2500 E HALLANDALE BEACH BLVD STE 406, HALLANDALE BEACH, FL, 330094837, US | |||||||||||||
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| Phone | +1 718-968-5637 |
Authorized person
| Name | MRS. MARINA FAY |
| Role | PROVIDER |
| Phone | 7189685637 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FAY, MARINA | Agent | 600 THREE ISLANDS BLVD, #812, HALLANDALE BEACH, FL 33009 |
| Name | Role | Address |
|---|---|---|
| FAY, MARINA | Manager | 600 THREE ISLANDS BLVD #812, HALLANDALE BEACH, FL 33009 |
| USTAYEV, ARTUR | Manager | 600 THREE ISLANDS BLVD #812, HALLANDALE BEACH, FL 33009 |
| Name | Role | Address |
|---|---|---|
| POLOSATKIN, ANATOLY | Authorized Member | 600 THREE ISLANDS BLVD #812, HALLANDALE BEACH, FL 33009 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-04-11 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-13 | FAY, MARINA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-24 |
| ANNUAL REPORT | 2024-01-30 |
| AMENDED ANNUAL REPORT | 2023-04-19 |
| LC Amendment | 2023-04-11 |
| ANNUAL REPORT | 2023-01-13 |
| Florida Limited Liability | 2022-07-28 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
