| Entity Name: | JPMEDICAL & WELLNESS CENTER PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Jun 2024 (8 months ago) |
| Document Number: | L24000271268 |
| FEI/EIN Number | 99-3628541 |
| Address: | 6215 N University Dr, Tamarac, FL 33321 |
| Mail Address: | 4110 LAUREL RIDGE CIR, WESTON, FL 33331 |
| ZIP code: | 33321 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437989340 | 2024-08-05 | 2024-10-10 | 6215 N UNIVERSITY DR, TAMARAC, FL, 333214022, US | 6215 N UNIVERSITY DR, TAMARAC, FL, 333214022, US | |||||||||||||||
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| Phone | +1 954-330-2115 |
| Fax | 9543018259 |
Authorized person
| Name | MARIA JAIMES |
| Role | OWNER |
| Phone | 9543302115 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PACHON, RONALD | Agent | 4110 LAUREL RIDGE CIR, WESTON, FL 33331 |
| Name | Role | Address |
|---|---|---|
| JAIMES, MARIA A | Authorized Member | 4110 LAUREL RIDGE CIR, WESTON, FL 33331 |
| PACHON, RONALD E | Authorized Member | 4110 LAUREL RIDGE CIR, WESTON, FL 33331 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-19 | 6215 N University Dr, Tamarac, FL 33321 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-14 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
