| Entity Name: | COWFORD MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Aug 2024 (6 months ago) |
| Document Number: | L24000368517 |
| Address: | 14114 MAHOGANY AVE, JACKSONVILLE, FL, 32258, UN |
| Mail Address: | 14114 MAHOGANY AVENUE, JACKSONVILLE, FL, 32258, US |
| ZIP code: | 32258 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992531149 | 2024-09-12 | 2024-10-08 | 14114 MAHOGANY AVE, JACKSONVILLE, FL, 322585513, US | 1670 EAGLE HARBOR PKWY, FLEMING ISLAND, FL, 320034820, US | |||||||||||||||
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| Phone | +1 904-219-7552 |
| Phone | +1 904-644-0700 |
Authorized person
| Name | DENIECE C BREMER |
| Role | CEO |
| Phone | 9042197552 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BREMER DENIECE | Agent | 14114 MAHOGANY AVE, JACKSONVILLE, FL, 32258 |
| Name | Role | Address |
|---|---|---|
| BREMER DENIECE C | Manager | 14114 MAHOGANY AVE, JACKSONVILLE, FL, 32258 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
