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SOUTHWEST FLORIDA MOBILE WOUND CARE LLC

Company Details

Entity Name: SOUTHWEST FLORIDA MOBILE WOUND CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Aug 2023 (2 years ago)
Document Number: L23000364920
FEI/EIN Number 93-2725023
Address: 21208 WAYMOUTH RUN, ESTERO, FL, 33928, UN
Mail Address: 21208 WAYMOUTH RUN, ESTERO, FL, 33928, UN
ZIP code: 33928
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487336863 2023-08-03 2023-12-29 21208 WAYMOUTH RUN, ESTERO, FL, 339283243, US 21208 WAYMOUTH RUN, ESTERO, FL, 339283243, US

Contacts

Phone +1 401-256-9997
Fax 2393612780

Authorized person

Name MEKAAEL MAHMOUD
Role MANAGING MEMBER
Phone 2392149842

Taxonomy

Taxonomy Code 163WW0000X - Wound Care Registered Nurse
Is Primary No
Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
MAHMOUD MEKAAEL Agent 21208 WAYMOUTH RUN, ESTERO, FL, 33928

Managing Member

Name Role Address
MAHMOUD MEKAAEL Managing Member 21208 WAYMOUTH RUN, ESTERO, FL, 33928

Documents

Name Date
ANNUAL REPORT 2024-01-03
Florida Limited Liability 2023-08-03

Date of last update: 01 Feb 2025

Sources: Florida Department of State