| Entity Name: | BREATHEWELL PULMONARY CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 May 2024 (9 months ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 19 Aug 2024 (6 months ago) |
| Document Number: | L24000218122 |
| Address: | 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243 |
| Mail Address: | 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243 |
| ZIP code: | 34243 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992537856 | 2024-08-19 | 2024-10-18 | 9628 CHARLESBERG DR, TAMPA, FL, 336351638, US | 3450 E FLETCHER AVE STE 260, TAMPA, FL, 336134697, US | |||||||||||||||
|
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| Phone | +1 813-419-3108 |
| Fax | 8134820542 |
Authorized person
| Name | AMIE ZAMORA |
| Role | CREDENTIALING |
| Phone | 8885562742 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CINDY'S FLORIDA LLC | Agent |
| Name | Role | Address |
|---|---|---|
| SANTANA MELGAREJO, YANEIDY | Authorized Member | 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-08-19 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-08-19 |
| Florida Limited Liability | 2024-05-09 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
