| Entity Name: | HOLISTIC MATERNITY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Oct 2014 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Mar 2022 (3 years ago) |
| Document Number: | L14000158272 |
| FEI/EIN Number | 30-0846080 |
| Address: | 2519 McMullen Booth Rd, Ste 510-219, Clearwater, FL, 33761, US |
| Mail Address: | 2519 McMullen Booth Rd, Ste 510-219, Clearwater, FL, 33761, US |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578969200 | 2014-11-06 | 2014-11-06 | 10460 ROOSEVELT BLVD N, SUITE 179, ST PETERSBURG, FL, 337163821, US | 10460 ROOSEVELT BLVD N, SUITE 179, ST PETERSBURG, FL, 337163821, US | |||||||||||||||||||||||||
|
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| Phone | +1 727-565-8798 |
| Fax | 7274977913 |
Authorized person
| Name | KATRINA K HOLLON |
| Role | OWNER/CEO |
| Phone | 7275658798 |
Taxonomy
| Taxonomy Code | 176B00000X - Midwife |
| License Number | MW268 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 006618000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HOLLON KATRINA K | Agent | 2519 McMullen Booth Rd, Clearwater, FL, 33761 |
| Name | Role | Address |
|---|---|---|
| HOLLON KATRINA K | Auth | 2519 McMullen Booth Rd, Clearwater, FL, 33761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-05 | 2519 McMullen Booth Rd, Ste 510-219, Clearwater, FL 33761 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-05 | 2519 McMullen Booth Rd, Ste 510-219, Clearwater, FL 33761 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-05 | 2519 McMullen Booth Rd, Ste 510-219, Clearwater, FL 33761 | No data |
| REINSTATEMENT | 2022-03-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-05 | HOLLON, KATRINA K | No data |
| REINSTATEMENT | 2019-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-04-05 |
| REINSTATEMENT | 2022-03-30 |
| REINSTATEMENT | 2019-10-05 |
| ANNUAL REPORT | 2018-08-28 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-07-08 |
| ANNUAL REPORT | 2015-01-30 |
| Florida Limited Liability | 2014-10-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
