Entity Name: | MED MANAGEMENT OF SFL, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 17 Nov 2023 (a year ago) |
Document Number: | L23000520158 |
FEI/EIN Number | 93-4556056 |
Mail Address: | 11000 PROSPERITY FARMS, STE 101, PALM BEACH GARDENS, FL 33410 |
Address: | 11000 PROSPERITY FARMS, STE 101B, PALM BEACH GARDENS, FL 33410 |
ZIP code: | 33410 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1386411791 | 2023-12-06 | 2023-12-06 | 11000 PROSPERITY FARMS RD STE 101, PALM BEACH GARDENS, FL, 334103470, US | 11000 PROSPERITY FARMS RD STE 101B, PALM BEACH GARDENS, FL, 334103462, US | |||||||||||||||||||||||||
|
Phone | +1 561-291-6833 |
Authorized person
Name | NICHOLAS DAVID MARINO |
Role | CEO |
Phone | 5612916833 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 207QA0000X - Adolescent Medicine (Family Medicine) Physician |
Is Primary | No |
Taxonomy Code | 207QA0505X - Adult Medicine Physician |
Is Primary | No |
Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
Is Primary | No |
Name | Role |
---|---|
MED MANAGEMENTFL, INC. | Agent |
Name | Role |
---|---|
MED MANAGEMENTFL, INC. | Manager |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-30 |
Florida Limited Liability | 2023-11-17 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State