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PALM WELLNESS CENTER, LLC

Company Details

Entity Name: PALM WELLNESS CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Oct 2011 (13 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 30 Dec 2014 (10 years ago)
Document Number: L11000117320
FEI/EIN Number 45-3588355
Address: 1004 W Linebaugh Ave, STE A, TAMPA, FL, 33612, US
Mail Address: 1004 W Linebaugh Ave, STE A, TAMPA, FL, 33612, US
ZIP code: 33612
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255736831 2014-10-25 2021-10-21 8900 N ARMENIA AVE, STE#212, TAMPA, FL, 336041067, US 1004 W. LINEBAUGH AVE, STE #A, TAMPA, FL, 33612, US

Contacts

Phone +1 813-443-5370
Fax 8134435604

Authorized person

Name MR. MICHEL REYES
Role CEO
Phone 8134435370

Taxonomy

Taxonomy Code 261QR0400X - Rehabilitation Clinic/Center
License Number MM28422
State FL
Is Primary Yes

Agent

Name Role Address
Reyes Michel Agent 1004 W Linebaugh Ave, TAMPA, FL, 33612

Managing Member

Name Role Address
Michel Reyes Managing Member 1004 W Linebaugh Ave, TAMPA, FL, 33612

Manager

Name Role Address
REYES MICHEL Manager 1004 W Linebaugh Ave, TAMPA, FL, 33612

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-14 1004 W Linebaugh Ave, STE A, TAMPA, FL 33612 No data
CHANGE OF MAILING ADDRESS 2022-01-14 1004 W Linebaugh Ave, STE A, TAMPA, FL 33612 No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-14 1004 W Linebaugh Ave, STE A, TAMPA, FL 33612 No data
REGISTERED AGENT NAME CHANGED 2015-01-13 Reyes, Michel No data
LC AMENDMENT 2014-12-30 No data No data
LC DISSOCIATION MEM 2014-11-12 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-02-06
ANNUAL REPORT 2022-01-14
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-03-22
ANNUAL REPORT 2018-02-02
ANNUAL REPORT 2017-02-27
ANNUAL REPORT 2016-02-15
ANNUAL REPORT 2015-01-13

Date of last update: 01 Feb 2025

Sources: Florida Department of State