Entity Name: | PARAGON WOUND CARE INC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 26 Aug 2024 (5 months ago) |
Document Number: | P24000055056 |
Address: | 114 WYE RD, ST JOHNS, FL 32259 |
Mail Address: | 114 WYE RD, ST JOHNS, FL 32259 |
ZIP code: | 32259 |
County: | St. Johns |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1568296689 | 2024-08-30 | 2024-08-30 | 255 RIVERTOWN SHOPS DR STE 102, ST JOHNS, FL, 322597507, US | 12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL, 322589486, US | |||||||||||||||
|
Phone | +1 904-404-0093 |
Fax | 9044040093 |
Authorized person
Name | SERGEY SMIRNOV |
Role | PRESIDENT |
Phone | 9044040093 |
Taxonomy
Taxonomy Code | 363L00000X - Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SMIRNOV, SERGEY, MR | Agent | 154 HORSETAIL CT, ST AUGUSTINE, FL 32095 |
Name | Role | Address |
---|---|---|
SMIRNOV, SERGEY | President | 154 HORSETAIL CT, ST. AUGUSTINE, FL 32095 |
LIPELIS, MARK | President | 114 WYE RD, ST JOHNS, FL 32259 |
Name | Date |
---|---|
Domestic Profit | 2024-08-26 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State