| Entity Name: | GUDE MEDICINE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Sep 2024 (5 months ago) |
| Document Number: | P24000059188 |
| Address: | 2336 SE OCEAN BLVD, 164, STUART, FL 34996 |
| Mail Address: | 2336 SE OCEAN BLVD, 164, STUART, FL 34996 |
| ZIP code: | 34996 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053138735 | 2024-09-24 | 2024-10-07 | 2336 SE OCEAN BLVD # 164, STUART, FL, 349963310, US | 5850 SE COMMUNITY DR, STUART, FL, 349976420, US | |||||||||||||||
|
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| Phone | +1 718-873-4139 |
| Phone | +1 772-324-3500 |
Authorized person
| Name | LUIS GUDE |
| Role | PRESIDENT |
| Phone | 7188734139 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUDE, LUIS | Agent | 2336 SE OCEAN BLVD, 164, STUART, FL 34996 |
| Name | Role | Address |
|---|---|---|
| GUDE, LUIS | President | 2336 SE OCEAN BLVD, STUART, FL 34996 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-09-16 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State
