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PARAGON WOUND CARE INC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
SMIRNOV, SERGEY, MR Agent 154 HORSETAIL CT, ST AUGUSTINE, FL 32095

President

Name Role Address
SMIRNOV, SERGEY President 154 HORSETAIL CT, ST. AUGUSTINE, FL 32095
LIPELIS, MARK President 114 WYE RD, ST JOHNS, FL 32259

Documents

Name Date
Domestic Profit 2024-08-26

Date of last update: 07 Jan 2025

Sources: Florida Department of State