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MEDOSH INTEGRATIVE MEDICINE, LLC

Company Details

Entity Name: MEDOSH INTEGRATIVE MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 May 2023 (2 years ago)
Document Number: L23000224130
FEI/EIN Number 92-3927626
Address: 789 DOUGLAS AVE, ALTAMONTE SPRINGS, FL, 32714, US
Mail Address: 10213 CHESHAM DR, ORLANDO, FL, 32817, UN
ZIP code: 32714
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548041312 2023-10-09 2023-10-09 10213 CHESHAM DR, ORLANDO, FL, 328173288, US 789 DOUGLAS AVE, ALTAMONTE SPRINGS, FL, 327142573, US

Contacts

Phone +1 504-346-9660

Authorized person

Name ELVAN SARAC-JENNINGS
Role OWNER
Phone 5043469660

Taxonomy

Taxonomy Code 171100000X - Acupuncturist
Is Primary Yes

Agent

Name Role Address
Pilnick Blanche Agent 286 WILSHIRE BLVD, CASSELBERRY, FL, 32707

Authorized Representative

Name Role Address
SARAC-JENNINGS ELVAN Authorized Representative 10213 CHESHAM DR, ORLANDO, FL, 32817

Manager

Name Role Address
JENNINGS TODD E Manager 10213 CHESHAM DR, ORLANDO, FL, 32817

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-02 789 DOUGLAS AVE, 137, ALTAMONTE SPRINGS, FL 32714 No data
REGISTERED AGENT NAME CHANGED 2024-02-02 Pilnick, Blanche No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-02 286 WILSHIRE BLVD, CASSELBERRY, FL 32707 No data

Documents

Name Date
ANNUAL REPORT 2024-02-02
Florida Limited Liability 2023-05-05

Date of last update: 01 Feb 2025

Sources: Florida Department of State