| Entity Name: | BELLE MEDICAL GROUP INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Dec 2022 (2 years ago) |
| Document Number: | P22000093555 |
| FEI/EIN Number | 88-4422282 |
| Address: | 1050 NW 15TH STREET, BOCA RATON, FL, 33486, US |
| Mail Address: | 1050 NW 15TH STREET, BOCA RATON, FL, 33486, US |
| ZIP code: | 33486 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194564369 | 2024-05-20 | 2024-05-20 | 6821 HENDRY DR, LAKE WORTH, FL, 334637468, US | 1050 NW 15TH ST STE 201A, BOCA RATON, FL, 334861342, US | |||||||||||||
|
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| Phone | +1 561-315-2913 |
Authorized person
| Name | DR. STEPHANIE GOPIE |
| Role | CEO |
| Phone | 5613152913 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOPIE STEPHANIE L | Agent | 6821 HENDRY DRIVE, LAKE WORTH, FL, 33463 |
| Name | Role | Address |
|---|---|---|
| GOPIE STEPHANIE L | President | 6821 HENDRY DRIVE, LAKE WORTH, FL, 33463 |
| Name | Role | Address |
|---|---|---|
| MANGRA MICHAEL A | Vice President | 6821 HENDRY DRIVE, LAKE WORTH, FL, 33463 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-04 | 1050 NW 15TH STREET, SUITE 201A, BOCA RATON, FL 33486 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-04 | 1050 NW 15TH STREET, SUITE 201A, BOCA RATON, FL 33486 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-07-19 |
| Domestic Profit | 2022-12-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
