Entity Name: | BLUEHEALTH MEDICAL GROUP, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 06 Jun 2024 (8 months ago) |
Document Number: | P24000039091 |
FEI/EIN Number | 993458030 |
Address: | 11390 PALM BEACH BLVD, FORT MYERS, FL, 33905, US |
Mail Address: | 11390 PALM BEACH BLVD, FORT MYERS, FL, 33905, US |
ZIP code: | 33905 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1871339929 | 2024-07-08 | 2024-07-08 | 11390 PALM BEACH BLVD, FORT MYERS, FL, 339055921, US | 11390 PALM BEACH BLVD, FORT MYERS, FL, 339055921, US | |||||||||||||
|
Phone | +1 239-443-7403 |
Authorized person
Name | GUILLERMO DE SANTIS NOYA |
Role | OWNER |
Phone | 2394437403 |
Taxonomy
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DE SANTIS GUILLERMO SR | Agent | 11390 PALM BEACH BLVD, FORT MYERS, FL, 33905 |
Name | Role | Address |
---|---|---|
DE SANTIS GUILLERMO SR | Authorized Member | 11390 PALM BEACH BLVD UNIT 301A, FORT MYERS, FL, 33905 |
MARTINEZ ERNESTO | Authorized Member | 11390 PALM BEACH BLVD, FORT MYERS, FL, 33905 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-08-21 | 11390 PALM BEACH BLVD, Unit 301A, FORT MYERS, FL 33905 | No data |
CHANGE OF MAILING ADDRESS | 2024-08-21 | 11390 PALM BEACH BLVD, Unit 301A, FORT MYERS, FL 33905 | No data |
Name | Date |
---|---|
Domestic Profit | 2024-06-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State