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INTENTIONALLY WELL LLC - Florida Company Profile

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Company Details

Entity Name: INTENTIONALLY WELL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Nov 2013 (12 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 23 Apr 2017 (8 years ago)
Document Number: L13000161793
FEI/EIN Number 46-4129840
Address: 2100 SE Hillmoor Drive, Port St Lucie, FL, 34952, US
Mail Address: 2100 SE Hillmoor Drive, Port St Lucie, FL, 34952, US
ZIP code: 34952
City: Port Saint Lucie
County: St. Lucie
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PINDER THERESA Managing Member 2100 SE Hillmoor Drive, Port St Lucie, FL, 34952
Pinder Theresa Agent 2100 SE Hillmoor Drive, Port St Lucie, FL, 34952

National Provider Identifier

NPI Number:
1922426402
Certification Date:
2024-07-19

Authorized Person:

Name:
THERESA ANNE PINDER
Role:
SOLE MEMBER, CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
7722490638

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-21 2100 SE Hillmoor Drive, suite 101, Port St Lucie, FL 34952 -
CHANGE OF MAILING ADDRESS 2023-04-21 2100 SE Hillmoor Drive, suite 101, Port St Lucie, FL 34952 -
REGISTERED AGENT NAME CHANGED 2023-04-21 Pinder, Theresa -
REGISTERED AGENT ADDRESS CHANGED 2023-04-21 2100 SE Hillmoor Drive, suite 101, Port St Lucie, FL 34952 -
REINSTATEMENT 2017-04-23 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-03-01
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-03-01
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-04-10
REINSTATEMENT 2017-04-23
ANNUAL REPORT 2015-04-27

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Date of last update: 01 Aug 2025

Sources: Florida Department of State