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MED CONNECT FL LLC

Company Details

Entity Name: MED CONNECT FL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Jan 2023 (2 years ago)
Document Number: L23000019044
FEI/EIN Number 92-1822299
Mail Address: 10472 LAKE VISTA CIR, BOCA RATON, FL, 33498, US
Address: 123 NW 13th St, Ste 218, Boca Raton, FL, 33432, US
ZIP code: 33432
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528763869 2023-04-04 2023-04-04 123 NW 13TH ST STE 218, BOCA RATON, FL, 334321619, US 123 NW 13TH ST STE 218, BOCA RATON, FL, 334321619, US

Contacts

Phone +1 786-440-1261

Authorized person

Name LIDIA TUNYAN
Role OWNER
Phone 7864401261

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
TUNYAN LIDIA Agent 10472 LAKE VISTA CIR, BOCA RATON, FL, 33498

Manager

Name Role Address
TUNYAN LIDIA Manager 10472 LAKE VISTA CIR, BOCA RATON, FL, 33498

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000017370 ORA WELLNESS ACTIVE 2024-01-31 2029-12-31 No data 10472 LAKE VISTA CIR, BOCA RATON, FL, 33498

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-30 123 NW 13th St, Ste 218, Boca Raton, FL 33432 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
Florida Limited Liability 2023-01-12

Date of last update: 02 Feb 2025

Sources: Florida Department of State