| Entity Name: | WATERWAY MED GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Aug 2022 (3 years ago) |
| Document Number: | L22000344339 |
| FEI/EIN Number | 88-3775102 |
| Address: | 7001 N WATERWAY DRIVE, 107, MIAMI, FL, 33155 |
| Mail Address: | 7001 N WATERWAY DRIVE, 107, MIAMI, FL, 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952027104 | 2022-10-18 | 2023-08-09 | 7001 N WATERWAY DR STE 107, MIAMI, FL, 331552827, US | 7001 N WATERWAY DR STE 107, MIAMI, FL, 331552827, US | |||||||||||||||
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| Phone | +1 786-542-9832 |
| Fax | 7866852585 |
Authorized person
| Name | MR. JESUS URGELLES |
| Role | PRESIDENT |
| Phone | 7865429832 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| URGELLES JESUS | Agent | 7001 N WATERWAY DRIVE, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| URGELLES JESUS | Manager | 7001 N WATERWAY DRIVE, SUITE 107, MIAMI, FL, 33155 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-12 |
| Florida Limited Liability | 2022-08-04 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
