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DIGESTIVE & LIVER WELLNESS, PA - Florida Company Profile

Company Details

Entity Name: DIGESTIVE & LIVER WELLNESS, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

DIGESTIVE & LIVER WELLNESS, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 13 Nov 2019 (5 years ago)
Document Number: P19000087973
FEI/EIN Number 84-3845474

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 925 NE 30 TERR, HOMESTEAD, FL, 33033, US
Mail Address: 925 NE 30 TERR, HOMESTEAD, FL, 33033, US
ZIP code: 33033
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477174662 2020-04-29 2021-01-12 925 NE 30TH TER STE 204, HOMESTEAD, FL, 330337614, US 925 NE 30TH TER STE 204, HOMESTEAD, FL, 330337614, US

Contacts

Phone +1 786-500-4644
Fax 7865306862

Authorized person

Name SANDRA RODRIGUEZ
Role OWNER/PRESIDENT
Phone 7865004644

Taxonomy

Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 100493500
State FL

Key Officers & Management

Name Role Address
RODRIGUEZ SANDRA President 925 NE 30 TERR, HOMESTEAD, FL, 33033
RODRIGUEZ SANDRA Agent 925 NE 30 TERR, HOMESTEAD, FL, 33033

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000003785 DLW GASTRO CLINIC ACTIVE 2021-01-08 2026-12-31 - 815 N HOMESTEAD BLVD, STE 448, HOMESTEAD, FL, 33030
G21000003801 YOURGASTROMD ACTIVE 2021-01-08 2026-12-31 - 815 N HOMESTEAD BLVD, STE 448, HOMESTEAD, FL, 33030

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-04-23 925 NE 30 TERR, STE 204, HOMESTEAD, FL 33033 -
CHANGE OF MAILING ADDRESS 2021-04-23 925 NE 30 TERR, STE 204, HOMESTEAD, FL 33033 -
REGISTERED AGENT ADDRESS CHANGED 2021-04-23 925 NE 30 TERR, STE 204, HOMESTEAD, FL 33033 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -

Documents

Name Date
ANNUAL REPORT 2025-02-07
ANNUAL REPORT 2024-03-16
ANNUAL REPORT 2023-01-21
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-04-23
Reg. Agent Change 2020-10-09
ANNUAL REPORT 2020-06-11
Domestic Profit 2019-11-13

Date of last update: 01 May 2025

Sources: Florida Department of State