| Entity Name: | JUSTWELL FOX HOLDINGS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Dec 2022 (2 years ago) |
| Document Number: | L22000522425 |
| FEI/EIN Number | 92-1355501 |
| Address: | 2600 DOUGLAS ROAD, SUITE 400, CORAL GABLES, FL, 33134, UN |
| Mail Address: | 2600 DOUGLAS ROAD, SUITE 400, CORAL GABLES, FL, 33134, UN |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881306884 | 2022-12-21 | 2022-12-21 | 2600 S DOUGLAS RD STE 400, CORAL GABLES, FL, 331346134, US | 6090 SW 40TH ST, MIAMI, FL, 331555252, US | |||||||||||||||||
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| Phone | +1 305-614-4700 |
| Phone | +1 305-661-6336 |
| Fax | 3056616939 |
Authorized person
| Name | MS. DAIMILSIS SALGADO |
| Role | DIRECTOR OF PROVIDER RELATIONS |
| Phone | 3056144700 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FORS JORGE LJR. | Agent | 1108 PONCE DE LEON BOULEVARD, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| POZO JUSTO L | Manager | 2600 DOUGLAS ROAD, SUITE 400, CORAL GABLES, FL, 33134 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-01-27 |
| Florida Limited Liability | 2022-12-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
