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SUNSHINE MEDICAL & WELLNESS PRACTICE, LLC - Florida Company Profile

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Company Details

Entity Name: SUNSHINE MEDICAL & WELLNESS PRACTICE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Jan 2025 (7 months ago)
Document Number: L25000026736
Address: 6765 SUNSET STRIP, SUITE 6, SUNRISE, FL, 33313, US
Mail Address: 6765 SUNSET STRIP, SUITE 6, SUNRISE, FL, 33313, US
ZIP code: 33313
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MADHUKAR JOEL Manager 6765 SUNSET STRIP, SUITE 6, SUNRISE, FL, 33313
PIDUGU DONALD Manager 6765 SUNSET STRIP, SUITE 6, SUNRISE, FL, 33313
MADHUKAR JESSY Manager 6765 SUNSET STRIP, SUITE 6, SUNRISE, FL, 33313
SHULMAN SCOTT Agent 5550 GLADES ROAD, BOCA RATON, FL, 33431

National Provider Identifier

NPI Number:
1811701857
Certification Date:
2025-03-14

Authorized Person:

Name:
MR. DONALD PIDUGU
Role:
DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
9545727799

Documents

Name Date
Florida Limited Liability 2025-01-14

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Date of last update: 02 Aug 2025

Sources: Florida Department of State