| Entity Name: | BREVARD ACCIDENT & WORK INJURY CENTERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Oct 2022 (2 years ago) |
| Document Number: | L22000429834 |
| FEI/EIN Number | 92-0587957 |
| Address: | 2090 SARNO RD., MELBOURNE, FL, 32935 |
| Mail Address: | 2090 SARNO RD., MELBOURNE, FL, 32935 |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477278075 | 2022-10-05 | 2022-10-05 | 2090 SARNO RD, MELBOURNE, FL, 329353077, US | 2090 SARNO RD, MELBOURNE, FL, 329353077, US | |||||||||||||
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| Phone | +1 954-818-3160 |
Authorized person
| Name | MISS JENEANE MARIE WAKULA |
| Role | OFFICE MANAGER |
| Phone | 7722631642 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DTFP LLC | Agent |
| Name | Role |
|---|---|
| DTFP LLC | Manager |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| Florida Limited Liability | 2022-10-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
