| Entity Name: | UNIVERSAL HEALTH & WELLNESS CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Sep 2004 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Nov 2024 (2 months ago) |
| Document Number: | P04000130934 |
| FEI/EIN Number | 201638571 |
| Address: | 9618 PINE BLVD, PEMBROKE PINES, FL, 33024 |
| Mail Address: | 9618 PINE BLVD, PEMBROKE PINES, FL, 33024 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033543715 | 2013-08-29 | 2014-06-17 | 9618 PINES BLVD, PEMBROKE PINES, FL, 330246240, US | 9618 PINES BLVD, PEMBROKE PINES, FL, 330246240, US | |||||||||||||||||||||||||
|
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| Phone | +1 954-517-1620 |
| Fax | 9545171621 |
Authorized person
| Name | DR. EDUARDO SERGIO MENDEZ |
| Role | PRESIDENT |
| Phone | 9545171620 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME83615 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | FR750A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Mendez Eduardo | Agent | 9618 PINE BLVD, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| Mendez Eduardo | President | 9618 PINE BLVD, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-11-27 | Mendez, Eduardo | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2021-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2019-12-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2017-01-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2014-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-27 |
| ANNUAL REPORT | 2022-01-11 |
| REINSTATEMENT | 2021-10-05 |
| ANNUAL REPORT | 2020-07-23 |
| REINSTATEMENT | 2019-12-19 |
| REINSTATEMENT | 2017-01-04 |
| ANNUAL REPORT | 2015-04-28 |
| REINSTATEMENT | 2014-10-07 |
| REINSTATEMENT | 2013-10-09 |
| ANNUAL REPORT | 2012-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
