Entity Name: | BOWER UROLOGY LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 22 Jun 2023 (2 years ago) |
Document Number: | L23000300329 |
FEI/EIN Number | 93-2033486 |
Address: | 1941 SE PORT ST. LUCIE BLVD., PORT ST. LUCIE, FL 34952 |
Mail Address: | 1941 SE PORT ST. LUCIE BLVD., PORT ST. LUCIE, FL 34952 |
ZIP code: | 34952 |
County: | St. Lucie |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1467130294 | 2023-07-11 | 2024-05-29 | 1941 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 349525535, US | 1941 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 349525535, US | |||||||||||||||
|
Phone | +1 772-340-6777 |
Fax | 7722363002 |
Authorized person
Name | PAMELA BOWER |
Role | CEO |
Phone | 6462710212 |
Taxonomy
Taxonomy Code | 208800000X - Urology Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BOWER, PAUL E | Agent | 1941 SE PORT ST. LUCIE BLVD, PORT ST. LUCIE, FL 34952 |
Name | Role | Address |
---|---|---|
BOWER, PAMELA | Authorized Member | 1941 SE PORT ST. LUCIE BLVD, PORT ST. LUCIE, FL 34952 |
Name | Date |
---|---|
ANNUAL REPORT | 2025-02-07 |
ANNUAL REPORT | 2024-03-21 |
Florida Limited Liability | 2023-06-22 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State