| Entity Name: | INNOVATIVE HEALTH & WELLNESS, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Aug 2004 (20 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 02 Aug 2011 (14 years ago) |
| Document Number: | L04000059598 |
| FEI/EIN Number | 421654410 |
| Address: | 729 EAST ATLANTIC BLVD., POMPANO BEACH, FL, 33060 |
| Mail Address: | 729 EAST ATLANTIC BLVD., POMPANO BEACH, FL, 33060 |
| ZIP code: | 33060 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295785939 | 2006-05-11 | 2019-12-09 | 729 E ATLANTIC BLVD, POMPANO BEACH, FL, 330606345, US | 729 E ATLANTIC BLVD, POMPANO BEACH, FL, 330606345, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-943-5044 |
| Fax | 9547868502 |
Authorized person
| Name | DR. SCOTT A. SILVERSTEIN |
| Role | MEDICAL DIRECTOR |
| Phone | 9549435044 |
Taxonomy
| Taxonomy Code | 207QS0010X - Sports Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICARE RAILROAD |
| Number | DF0638 |
| State | FL |
| Issuer | BLUE CROSS AND BLUE SHIEL |
| Number | 94998 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SILVERSTEIN SCOTT | Agent | 729 EAST ATLANTIC BLVD., POMPANO BEACH, FL, 33060 |
| Name | Role | Address |
|---|---|---|
| SILVERSTEIN STEPHEN | Managing Member | 729 EAST ATLANTIC BLVD., POMPANO BEACH, FL, 33060 |
| SILVERSTEIN SCOTT | Managing Member | 729 EAST ATLANTIC BLVD., POMPANO BEACH, FL, 33060 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2011-08-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-08 | SILVERSTEIN, SCOTT | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-05-05 | 729 EAST ATLANTIC BLVD., POMPANO BEACH, FL 33060 | No data |
| CHANGE OF MAILING ADDRESS | 2006-04-25 | 729 EAST ATLANTIC BLVD., POMPANO BEACH, FL 33060 | No data |
| AMENDMENT | 2005-03-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-03-14 | 729 EAST ATLANTIC BLVD., POMPANO BEACH, FL 33060 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-13 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-04-24 |
| ANNUAL REPORT | 2021-04-18 |
| ANNUAL REPORT | 2020-05-26 |
| ANNUAL REPORT | 2019-03-22 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-03-17 |
| ANNUAL REPORT | 2015-03-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
