| Entity Name: | APALACHICOLA WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Dec 2002 (22 years ago) |
| Document Number: | L02000034120 |
| FEI/EIN Number | 432004508 |
| Address: | 111 AVENUE E, APALACHICOLA, FL, 32320 |
| Mail Address: | PO Box 207, Apalachicola, FL, 32329, US |
| ZIP code: | 32320 |
| County: | Franklin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457658577 | 2011-02-25 | 2011-02-25 | PO BOX 207, APALACHICOLA, FL, 323290207, US | 111 AVENUE E, APALACHICOLA, FL, 323202041, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 850-653-4545 |
| Fax | 8506534949 |
Authorized person
| Name | CHARLES THOMAS BROCATO |
| Role | OWNER |
| Phone | 8506534545 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROCATO C. THOMAS | Agent | 111 Avenue E, Apalachicola, FL, 32320 |
| Name | Role | Address |
|---|---|---|
| Brocato CHARLES T | Auth | 111 AVENUE E, APALACHICOLA, FL, 32320 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
