| Entity Name: | THRIVEWELL MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Mar 2024 (a year ago) |
| Document Number: | L24000134009 |
| FEI/EIN Number | 992026494 |
| Address: | 1719 E. Commercial Blvd, Ft. Lauderdale, FL, 33334, US |
| Mail Address: | 230 N. Compass Drive, Ft. Lauderdale, FL, 33308, US |
| ZIP code: | 33334 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386472827 | 2024-07-25 | 2024-07-25 | 1719 E COMMERCIAL BLVD, OAKLAND PARK, FL, 333345737, US | 1719 E COMMERCIAL BLVD, OAKLAND PARK, FL, 333345737, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 754-900-8663 |
Authorized person
| Name | JESSICA CHEN |
| Role | CHIEF HEALTH AND WELLNESS OFFICER |
| Phone | 7862393402 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| CHEN GORDON | Manager | 230 N. COMPASS DRIVE, FT. LAUDERDALE, FL, 33308 |
| CHEN JESSICA | Manager | 230 N. COMPASS DRIVE, FT. LAUDERDALE, FL, 33308 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G25000004261 | BLU MEDICAL | ACTIVE | 2025-01-09 | 2030-12-31 | No data | 230 N. COMPASS DRIVE, FT. LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-10-15 | 1719 E. Commercial Blvd, Ft. Lauderdale, FL 33334 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-12 | 1719 E. Commercial Blvd, Ft. Lauderdale, FL 33334 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
