| Entity Name: | RHEUMATOLOGY WELLNESS CENTER PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jun 2024 (8 months ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 13 Jun 2024 (8 months ago) |
| Document Number: | L24000253297 |
| Address: | 3149 N Ponce De Leon Blvd #1, St. Augustine, FL, 32084, US |
| Mail Address: | 3149 N Ponce De Leon Blvd #1, St. Augustine, FL, 32084, US |
| ZIP code: | 32084 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518700889 | 2024-06-14 | 2024-07-03 | 3149 N PONCE DE LEON BLVD STE 1, ST AUGUSTINE, FL, 320848626, US | 3149 N PONCE DE LEON BLVD STE 1, ST AUGUSTINE, FL, 320848626, US | |||||||||||||||||||||||
|
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| Phone | +1 904-594-2424 |
| Fax | 9045942425 |
Authorized person
| Name | DAVID JIMENEZ CIFUENTES |
| Role | MANAGER |
| Phone | 9547909448 |
Taxonomy
| Taxonomy Code | 171400000X - Health & Wellness Coach |
| Is Primary | No |
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JIMENEZ CIFUENTES DAVID | Agent | 4210 VALLEY RIDGE BLVD, PONTE VEDRA, FL, 32081 |
| Name | Role | Address |
|---|---|---|
| JIMENEZ CIFUENTES DAVID | Manager | 3149 N Ponce De Leon Blvd #1, St. Augustine, FL, 32084 |
| Name | Role | Address |
|---|---|---|
| OTALORA ROJAS LILIAN A | Authorized Member | 3149 N Ponce De Leon Blvd #1, St. Augustine, FL, 32084 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-22 | 3149 N Ponce De Leon Blvd #1, St. Augustine, FL 32084 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-22 | 3149 N Ponce De Leon Blvd #1, St. Augustine, FL 32084 | No data |
| LC AMENDMENT | 2024-06-13 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-06-13 |
| Florida Limited Liability | 2024-06-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
