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BWELL CLINICAL RESEARCH CORP

Company Details

Entity Name: BWELL CLINICAL RESEARCH CORP
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 23 Jul 2020 (5 years ago)
Document Number: P20000057256
FEI/EIN Number 85-2117067
Address: 10500 NW 26TH ST, A102A, DORAL, FL 33172
Mail Address: 10500 NW 26TH ST, A102A, DORAL, FL 33172 UN
ZIP code: 33172
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326650573 2020-08-19 2020-08-20 10500 NW 26TH ST # A102A, DORAL, FL, 331722158, US 10500 NW 26TH ST # A102A, DORAL, FL, 331722158, US

Contacts

Phone +1 786-953-8043
Fax 3056758060

Authorized person

Name JAKSE SEBASTIAN MOREJON
Role PRESIDENT
Phone 7869428635

Taxonomy

Taxonomy Code 261QR1100X - Research Clinic/Center
Is Primary Yes

Agent

Name Role Address
MOREJON, JAKSE S Agent 10500 NW 26TH ST, A102A, DORAL, FL 33172

Vice President

Name Role Address
Salvador, Carmen Vice President 10500 NW 26TH ST, A102A DORAL, FL 33172

President

Name Role Address
Morejon, Jakse Sebastian President 10500 NW 25th Street, A102A MIAMI, FL 33172

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-19
Domestic Profit 2020-07-23

Date of last update: 15 Jan 2025

Sources: Florida Department of State