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BWELL MEDICAL LLC - Florida Company Profile

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Company Details

Entity Name: BWELL MEDICAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Jun 2024 (a year ago)
Document Number: L24000278679
Address: 14846 TAMIAMI TRAIL, NORTH PORT, FL, 34287, UN
Mail Address: 14846 TAMIAMI TRAIL, NORTH PORT, FL, 34287, UN
ZIP code: 34287
City: North Port
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RICHARDS LISA J Manager 4578 N BISCAYNE DR, NORTH PORT, FL, 34291
RICHARDS LISA J Agent 14846 TAMIAMI TRAIL, NORTH PORT, FL, 34287

National Provider Identifier

NPI Number:
1992537633
Certification Date:
2024-08-19

Authorized Person:

Name:
LISA J RICHARDS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Documents

Name Date
Florida Limited Liability 2024-06-19

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Date of last update: 03 Aug 2025

Sources: Florida Department of State