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BOWER UROLOGY LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
BOWER, PAUL E Agent 1941 SE PORT ST. LUCIE BLVD, PORT ST. LUCIE, FL 34952

Authorized Member

Name Role Address
BOWER, PAMELA Authorized Member 1941 SE PORT ST. LUCIE BLVD, PORT ST. LUCIE, FL 34952

Documents

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