| Entity Name: | KUMU HEALTH INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 22 Mar 2022 (3 years ago) |
| Document Number: | P22000025837 |
| FEI/EIN Number | 88-1448089 |
| Address: | 11757 BEACH BLVD STE 7, JACKSONVILLE, FL 32246 |
| Mail Address: | 11757 BEACH BLVD STE 7, JACKSONVILLE, FL 32246 |
| ZIP code: | 32246 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306587415 | 2022-04-05 | 2022-04-05 | 11757 BEACH BLVD STE 7, JACKSONVILLE, FL, 322466633, US | 11757 BEACH BLVD STE 7, JACKSONVILLE, FL, 322466633, US | |||||||||||||||||||||||||||
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| Phone | +1 904-531-4556 |
| Fax | 9043767718 |
Authorized person
| Name | DIEGO FERNANDO GOMEZ |
| Role | PRESIDENT |
| Phone | 9045314556 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GOMEZ, DIEGO F | Agent | 11757 BEACH BLVD STE 7, JACKSONVILLE, FL 32246 |
| Name | Role | Address |
|---|---|---|
| GOMEZ, DIEGO | President | 11757 BEACH BLVD, JACKSONVILLE, FL 32246 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-04-04 |
| Domestic Profit | 2022-03-22 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
