| Entity Name: | WHOLESOME HEALTH PRIMARY CARE PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Jun 2024 (8 months ago) |
| Document Number: | L24000260360 |
| FEI/EIN Number | 99-3529397 |
| Address: | 282 RED CEDAR DR, SAINT JOHNS, FL 32259 |
| Mail Address: | 282 RED CEDAR DR, SAINT JOHNS, FL 32259 |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386482065 | 2024-07-17 | 2024-07-17 | 386 S ATLANTIC AVE UNIT 282, ORMOND BEACH, FL, 321767143, US | 4869 PALM COAST PARKWAY NW, PALM COAST, FL, 32137, US | |||||||||||||
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| Phone | +1 347-653-0717 |
Authorized person
| Name | DR. ZOHEB SHAIKH |
| Role | MD PROVIDER |
| Phone | 3476530717 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAIKH, ZOHEB, DR | Agent | 282 RED CEDAR DR, SAINT JOHNS, FL 32259 |
| Name | Role | Address |
|---|---|---|
| SHAIKH, ZOHEB, DR | Authorized Member | 282 RED CEDAR DR, SAINT JOHNS, FL 32259 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-07 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
