| Entity Name: | BEWELL MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 May 2023 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 30 May 2023 (2 years ago) |
| Document Number: | L23000248489 |
| FEI/EIN Number | 93-1527121 |
| Address: | 4700 SHERIDAN ST, SUITE R, HOLLYWOOD, FL 33021 |
| Mail Address: | 5827 Hope st, Hollywood, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275214744 | 2023-07-27 | 2023-07-27 | 7012 NW 179TH ST APT 208, HIALEAH, FL, 330155416, US | 4700 SHERIDAN ST STE R, HOLLYWOOD, FL, 330213416, US | |||||||||||||
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| Phone | +1 786-797-9475 |
Authorized person
| Name | JANY GONZALEZ |
| Role | OWNER |
| Phone | 7867979475 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, JANY | Agent | 5827 Hope St, hollywood, FL 33021 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, JANY | Manager | 5827 Hope St, Hollywood, FL 33021 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000095797 | BEWELL MEDICAL CENTER LLC | ACTIVE | 2023-08-16 | 2028-12-31 | No data | 7012 NW 179 ST APT 208, HIALEAH, FL, 33015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-14 | 4700 SHERIDAN ST, SUITE R, HOLLYWOOD, FL 33021 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-14 | 5827 Hope St, hollywood, FL 33021 | No data |
| LC AMENDMENT | 2023-05-30 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| LC Amendment | 2023-05-30 |
| Florida Limited Liability | 2023-05-22 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
