| Entity Name: | LW MEDICAL GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Aug 2022 (2 years ago) |
| Document Number: | P22000064708 |
| FEI/EIN Number | 88-3796344 |
| Address: | 19 S DIXIE HWY, LAKE WORTH, FL 33460 |
| Mail Address: | 14280 S MILITARY TRAIL, 7838, DELRAY BEACH, FL 33436 |
| ZIP code: | 33460 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497473789 | 2022-08-22 | 2022-08-22 | 7601 N FEDERAL HWY STE 245A, BOCA RATON, FL, 334871672, US | 19 S DIXIE HWY, LAKE WORTH, FL, 334603727, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 561-704-6781 |
| Fax | 5612090868 |
Authorized person
| Name | RANDY HERFIELD |
| Role | CEO |
| Phone | 5617046781 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERFIELD, RANDY | Agent | 7601 N Federal Hwy, Ste 245A, Boca Raton, FL 33487-1672 |
| Name | Role | Address |
|---|---|---|
| Herfield, Randy | President | 7601 N Federal Hwy, Ste 245A Boca Raton, FL 33487-1672 |
| Name | Role | Address |
|---|---|---|
| LEVY, JASON | Vice President | 6382 SQUIREWOOD WAY, LAKE WORTH, FL 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-20 | 7601 N Federal Hwy, Ste 245A, Boca Raton, FL 33487-1672 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-01-20 |
| Domestic Profit | 2022-08-16 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
