Entity Name: | RESTORING HEALTH MOBILE MEDICAL LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 30 Apr 2024 (9 months ago) |
Document Number: | L24000201185 |
Address: | 9428 BAYMEADOWS ROAD, STE 502, JACKSONVILLE, FL 32256 |
Mail Address: | 9428 BAYMEADOWS ROAD, STE 502, JACKSONVILLE, FL 32256 |
ZIP code: | 32256 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1730922451 | 2024-06-18 | 2024-06-18 | 9428 BAYMEADOWS RD STE 502, JACKSONVILLE, FL, 322567973, US | 9428 BAYMEADOWS RD STE 502, JACKSONVILLE, FL, 322567973, US | |||||||||||||||
|
Phone | +1 904-902-0736 |
Fax | 9049020768 |
Authorized person
Name | LATOYA R HUGULEY |
Role | OWNER |
Phone | 9126744517 |
Taxonomy
Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HUGULEY, LATOYA R | Agent | 78284 DUCKWOOD TRL, YULEE, FL 32097 |
Name | Role | Address |
---|---|---|
HUGULEY, LATOYA R | Manager | 78284 DUCKWOOD TRL, YULEE, FL 32097 |
Name | Date |
---|---|
Florida Limited Liability | 2024-04-30 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State