| Entity Name: | P&O PEDIATRIC AND FETAL CARDIOLOGY AND WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Sep 2023 (a year ago) |
| Document Number: | L23000444540 |
| FEI/EIN Number | 93-3631389 |
| Address: | 991 Stinson Way, WEST PALM BEACH, FL, 33411, US |
| Mail Address: | 991 Stinson Way, WEST PALM BEACH, FL, 33411, US |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528898905 | 2024-08-01 | 2024-08-01 | 991 STINSON WAY STE 401, WEST PALM BEACH, FL, 334113739, US | 808 SW GLENVIEW CT, SUITES 812, 814, 818, PORT ST LUCIE, FL, 349532684, US | |||||||||||||
|
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| Phone | +1 772-530-2942 |
Authorized person
| Name | MARSHALL LEWIS |
| Role | OWNER / MD |
| Phone | 7725302942 |
Taxonomy
| Taxonomy Code | 2080P0202X - Pediatric Cardiology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DFS AGENT, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| LEWIS MARSHALL | Manager | 1678 NEWHAVEN POINT LANE, WEST PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-20 | 991 Stinson Way, #401, WEST PALM BEACH, FL 33411 | No data |
| CHANGE OF MAILING ADDRESS | 2023-10-20 | 991 Stinson Way, #401, WEST PALM BEACH, FL 33411 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| Florida Limited Liability | 2023-09-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
