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