| Entity Name: | CORE CONCIERGE HEALTH AND WELLNESS, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Jun 2023 (2 years ago) |
| Document Number: | L23000298109 |
| FEI/EIN Number | 93-2152936 |
| Address: | 2550 S Bayshore Drive Suite 204, MIAMI, FL, 33133, US |
| Mail Address: | 2550 S Bayshore Drive Suite 204, MIAMI, FL, 33133, US |
| ZIP code: | 33133 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285312694 | 2023-07-06 | 2024-03-14 | 2550 S BAYSHORE DR STE 204, MIAMI, FL, 331334743, US | 2550 S BAYSHORE DR STE 204, MIAMI, FL, 331334743, US | |||||||||||||||||
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| Phone | +1 917-753-4770 |
| Fax | 7864854932 |
| Phone | +1 305-210-2673 |
Authorized person
| Name | KETEVAN LEO |
| Role | OWNER |
| Phone | 9177534770 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIAZ LAW GROUP | Agent | 9155 SOUTH DADELAND BLVD., MIAMI, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| DODDO KRISTEN MD | Manager | 11540 SW 80TH ROAD, PINECREST, FL, 33156 |
| LEO KETEVAN MD | Manager | 2500 INGUA AVE, COCONUT GROVE, FL, 33133 |
| Name | Role | Address |
|---|---|---|
| doddo ana | Officer | 8760 SW 64 Court, Pinecrest, FL, 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-11-08 | 2550 S Bayshore Drive Suite 204, MIAMI, FL 33133 | No data |
| CHANGE OF MAILING ADDRESS | 2023-11-08 | 2550 S Bayshore Drive Suite 204, MIAMI, FL 33133 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| Florida Limited Liability | 2023-06-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
