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THE MODERN MED, LLC

Company Details

Entity Name: THE MODERN MED, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 05 Jan 2023 (2 years ago)
Document Number: L23000013131
FEI/EIN Number 92-2240327
Address: 13840 Emerson St Apt 306, palm beach gardens, FL 33418
Mail Address: 13840 Emerson St Apt 306, palm beach gardens, FL 33418
ZIP code: 33418
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285333575 2023-02-27 2023-04-18 13840 EMERSON ST., APT 306, PALM BEACH GARDENS, FL, 33418, US 13840 EMERSON ST APT 306, PALM BEACH GARDENS, FL, 334186186, US

Contacts

Phone +1 414-617-8877

Authorized person

Name DR. ANDREW BERRY
Role OWNER
Phone 4146178877

Taxonomy

Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

Agent

Name Role
REGISTERED AGENTS INC Agent

Manager

Name Role Address
BERRY, ANDREW Manager 13840 EMERSON ST. APT 306, PALM BEACH GARDENS, FL 33418

Documents

Name Date
ANNUAL REPORT 2024-04-29
Florida Limited Liability 2023-01-05

Date of last update: 11 Jan 2025

Sources: Florida Department of State