| Entity Name: | FLORIDA MOBILE WOUND CARE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 30 Aug 2024 (5 months ago) |
| Document Number: | P24000056487 |
| Address: | 382 NE 191ST ST #330472, MIAMI, FL 33179 |
| Mail Address: | 382 NE 191ST ST #330472, MIAMI, FL 33179 |
| ZIP code: | 33179 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124854252 | 2024-09-13 | 2024-11-08 | 10089 WILLOW CREEK RD STE 200, SAN DIEGO, CA, 921311699, US | 2100 E BAY DR, LARGO, FL, 337712498, US | |||||||||||||||
|
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| Phone | +1 858-621-1514 |
| Fax | 8585854070 |
Authorized person
| Name | BRADLEY B BAILEY |
| Role | CEO |
| Phone | 8586211514 |
Taxonomy
| Taxonomy Code | 207PE0005X - Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BAILEY, BRADLEY | President | 15707 BACARA COURT, SAN DIEGO, CA 92131 |
| Name | Role | Address |
|---|---|---|
| BAILEY, BRADLEY | Treasurer | 15707 BACARA COURT, SAN DIEGO, CA 92131 |
| Name | Role | Address |
|---|---|---|
| BAILEY, BRADLEY | Director | 15707 BACARA COURT, SAN DIEGO, CA 92131 |
| SCHECHTER, ROGER | Director | 3436 RICH FIELD DRIVE, CARLSBAD, CA 92010 |
| Name | Role | Address |
|---|---|---|
| SCHECHTER, ROGER | Secretary | 3436 RICH FIELD DRIVE, CARLSBAD, CA 92010 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-08-30 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
