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MED MANAGEMENT OF SFL, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
MED MANAGEMENTFL, INC. Agent

Manager

Name Role
MED MANAGEMENTFL, INC. Manager

Documents

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