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II RED MEDICAL GROUP, LLC

Company Details

Entity Name: II RED MEDICAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Sep 2024 (5 months ago)
Document Number: L24000400775
Address: 5700 LAKE WORTH RD, 106, GREENACRES, FL, 33463
Mail Address: 5700 LAKE WORTH RD, 106, GREENACRES, FL, 33463
ZIP code: 33463
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962220491 2024-10-02 2024-10-02 5700 LAKE WORTH RD STE 106, GREENACRES, FL, 334633213, US 5700 LAKE WORTH RD STE 106, GREENACRES, FL, 334633213, US

Contacts

Phone +1 728-213-2065
Fax 5612441922

Authorized person

Name DAPHNE CLAUDOMIR
Role OFFICE MANAGER
Phone 7282132065

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
CLAUDOMIR DAPHNE Agent 5700 LAKE WORTH RD, GREENACRES, FL, 33463

Authorized Member

Name Role Address
CLAUDOMIR DAPHNE Authorized Member 5700 LAKE WORTH RD SUITE 106, GREENACRES, FL, 33463
CALIXTE YSMAGNE Authorized Member 5700 LAKE WORTH RD. SUITE 106, GREENACRES, FL, 33463

Documents

Name Date
Florida Limited Liability 2024-09-13

Date of last update: 02 Feb 2025

Sources: Florida Department of State