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CONCIERGE MEDICINE OF SWF, INC.

Company Details

Entity Name: CONCIERGE MEDICINE OF SWF, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 04 Mar 2022 (3 years ago)
Document Number: P22000020661
FEI/EIN Number 88-1089892
Address: 3759 RADCLIFF AVE, NORTH PORT, FL 34287
Mail Address: 3759 RADCLIFF AVE, NORTH PORT, FL 34287
ZIP code: 34287
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952011363 2022-11-28 2022-11-28 3759 RADCLIFF AVE, NORTH PORT, FL, 342875129, US 2567 N TOLEDO BLADE BLVD, NORTH PORT, FL, 342899305, US

Contacts

Phone +1 941-539-4308
Phone +1 941-202-9266

Authorized person

Name IVAN M DANKANICH
Role CEO
Phone 9415394308

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
DANKANICH, IVAN M Agent 3759 RADCLIFF AVE, NORTH PORT, FL 34287

President

Name Role Address
DANKANICH, IVAN M President 3759 RADCLIFF AVE, NORTH PORT, FL 34287

Vice President

Name Role Address
DANKANICH, SVETLANA F Vice President 3759 RADCLIFF AVE, NORTH PORT, FL 34287

Documents

Name Date
ANNUAL REPORT 2024-03-26
ANNUAL REPORT 2023-03-16
Domestic Profit 2022-03-04

Date of last update: 12 Feb 2025

Sources: Florida Department of State