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RESTORING HEALTH MOBILE MEDICAL LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
HUGULEY, LATOYA R Agent 78284 DUCKWOOD TRL, YULEE, FL 32097

Manager

Name Role Address
HUGULEY, LATOYA R Manager 78284 DUCKWOOD TRL, YULEE, FL 32097

Documents

Name Date
Florida Limited Liability 2024-04-30

Date of last update: 08 Feb 2025

Sources: Florida Department of State