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BWELL MED CENTER CORP

Company Details

Entity Name: BWELL MED CENTER CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 Jan 2024 (a year ago)
Document Number: P24000002715
Address: 10500 NW 26 ST, STE A102A, DORAL, FL, 33172, UN
Mail Address: 10500 NW 26 ST, STE A102A, DORAL, FL, 33172, UN
ZIP code: 33172
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902668536 2024-01-29 2024-01-29 10500 NW 26TH ST STE A102A, DORAL, FL, 331722158, US 10500 NW 26TH ST STE A102A, DORAL, FL, 331722158, US

Contacts

Phone +1 305-364-5182

Authorized person

Name CESAR PEREZ
Role OWNER
Phone 0000000000

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
PEREZ CESAR MD Agent 10500 NW 26 ST, DORAL, FL, 33172

President

Name Role Address
PEREZ CESAR MD President 10500 NW 26 ST STE A102A, DORAL, FL, 33172

Documents

Name Date
Domestic Profit 2024-01-08

Date of last update: 02 Feb 2025

Sources: Florida Department of State