| Entity Name: | CAREWELL CLINIC CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 May 2023 (2 years ago) |
| Document Number: | P23000038216 |
| FEI/EIN Number | 93-1366778 |
| Address: | 14901 NW 79 CT, MIAMI LAKES, FL 33016 |
| Mail Address: | 14901 NW 79 CT, MIAMI LAKES, FL 33016 |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912734047 | 2024-09-13 | 2024-09-13 | 14901 NW 79TH CT, MIAMI LAKES, FL, 330165856, US | 14901 NW 79TH CT, MIAMI LAKES, FL, 330165856, US | |||||||||||||||
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| Phone | +1 786-936-8432 |
| Fax | 7869368433 |
Authorized person
| Name | SANDY LOPEZ |
| Role | CEO |
| Phone | 7864993499 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ, SANDY | Agent | 14901 NW 79 CT, MIAMI LAKES, FL 33016 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, SANDY | President | 14901 NW 79 CT, MIAMI LAKES, FL 33016 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000076131 | VIDA MEDICAL CENTERS OF MIAMI LAKES | ACTIVE | 2024-06-20 | 2029-12-31 | No data | 14901 NW 79 CT, MIAMI LAKES, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-20 | 14901 NW 79 CT, MIAMI LAKES, FL 33016 | No data |
| CHANGE OF MAILING ADDRESS | 2024-06-20 | 14901 NW 79 CT, MIAMI LAKES, FL 33016 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-06-20 | LOPEZ, SANDY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-06-20 | 14901 NW 79 CT, MIAMI LAKES, FL 33016 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-07 |
| ANNUAL REPORT | 2024-06-20 |
| Domestic Profit | 2023-05-15 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
