| Entity Name: | SCHIERMYER RENEWED WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Jan 2023 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 22 Feb 2023 (2 years ago) |
| Document Number: | L23000011503 |
| FEI/EIN Number | 92-1679536 |
| Address: | 1906 12 CT, VERO BEACH, FL, 32960, US |
| Mail Address: | 1906 12 CT, VERO BEACH, FL, 32960, US |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427746866 | 2023-04-25 | 2023-04-25 | 1906 12TH CT, VERO BEACH, FL, 329603504, US | 1906 12TH CT, VERO BEACH, FL, 329603504, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 772-410-3348 |
| Fax | 7726187374 |
| Fax | 7726187375 |
Authorized person
| Name | DR. MATTHEW JAMES SCHIERMYER |
| Role | PRESIDENT |
| Phone | 7724103348 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CIGNA |
| Number | 3191447 |
| Issuer | BCBS |
| Number | 88980 |
| State | FL |
| Issuer | NPI |
| Number | 1447413893 |
| Issuer | CAQH |
| Number | 11999319 |
| Issuer | DOH |
| Number | CH9495 |
| State | FL |
| Issuer | MEDICAID |
| Number | 113474900 |
| State | FL |
| Name | Role |
|---|---|
| SCHIERMYER RENEWED WELLNESS LLC | Agent |
| Name | Role | Address |
|---|---|---|
| SCHIERMYER MATTHEW J | Authorized Member | 5220 21ST ST, VERO BEACH, FL, 32966 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-11 | Schiermyer Renewed Wellness, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-11 | 1906 12 CT, VERO BEACH, FL 32960 | No data |
| LC AMENDMENT | 2023-02-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-22 | 1906 12 CT, VERO BEACH, FL 32960 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-22 | 1906 12 CT, VERO BEACH, FL 32960 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| LC Amendment | 2023-02-22 |
| Florida Limited Liability | 2023-01-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
