| Entity Name: | FLOWLY HEALTH MEDICAL GROUP, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Feb 2024 (a year ago) |
| Document Number: | P24000015786 |
| Address: | 390 NE 191ST ST, STE 8264, MIAMI, FL 33179 |
| Mail Address: | 390 NE 191ST ST, STE 8264, MIAMI, FL 33179 |
| ZIP code: | 33179 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235983826 | 2024-04-11 | 2024-07-31 | 390 NE 191ST ST STE 8264, MIAMI, FL, 331793899, US | 390 NE 191ST ST STE 8264, MIAMI, FL, 331793899, US | |||||||||||||||||||||
|
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| Phone | +1 323-545-3659 |
Authorized person
| Name | CELINE TIEN |
| Role | MSO CEO |
| Phone | 7608891132 |
Taxonomy
| Taxonomy Code | 104100000X - Social Worker |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Name | Role |
|---|---|
| REGIONAL MEDICAL HEALTH SERVICES, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| ESTERMAN, BRADLEY JAY | President | 7531 ESTRELLA CIRCLE, BOCA RATON, FL 33433 |
| Name | Role | Address |
|---|---|---|
| ESTERMAN, BRADLEY JAY | Secretary | 7531 ESTRELLA CIRCLE, BOCA RATON, FL 33433 |
| Name | Role | Address |
|---|---|---|
| ESTERMAN, BRADLEY JAY | Chief Financial Officer | 7531 ESTRELLA CIRCLE, BOCA RATON, FL 33433 |
| Name | Role | Address |
|---|---|---|
| ESTERMAN, BRADLEY JAY | Director | 7531 ESTRELLA CIRCLE, BOCA RATON, FL 33433 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-02-28 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
