| Entity Name: | MIND BODY SPIRIT, REFORMERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 May 2015 (10 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 05 Nov 2015 (9 years ago) |
| Document Number: | L15000087356 |
| FEI/EIN Number | 47-4042280 |
| Address: | 2701 W. Oakland Park Blvd, Ste 335, Oakland Park, FL, 33311, US |
| Mail Address: | 2701 W. Oakland Park Blvd, Ste 335, Oakland Park, FL, 33311, US |
| ZIP code: | 33311 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609462738 | 2020-12-13 | 2020-12-13 | 4143 S PINE ISLAND RD, DAVIE, FL, 333282831, US | 4143 S PINE ISLAND RD, DAVIE, FL, 333282831, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 954-802-9835 |
Authorized person
| Name | MS. BERTHA L OSORIO-CAMPBELL |
| Role | OWNER |
| Phone | 9548029835 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OSORIO-CAMPBELL BERTHA L | Agent | 6094 Live Oak Ct. Unit B, Tamarac, FL, 33319 |
| Name | Role | Address |
|---|---|---|
| Osorio-Campbell Bertha F | President | 6094 Live Oak Ct., TAMARAC, FL, 33319 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000031117 | INSTITUTE FOR OPTIMAL HEALING AND AESTHETICS | ACTIVE | 2020-03-11 | 2025-12-31 | No data | 4143 S. PINE ISLAND RD., DAVIE, FL, 33328 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-11 | 2701 W. Oakland Park Blvd, Ste 335, Oakland Park, FL 33311 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-11 | 6094 Live Oak Ct. Unit B, Tamarac, FL 33319 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-16 | 2701 W. Oakland Park Blvd, Ste 335, Oakland Park, FL 33311 | No data |
| LC AMENDMENT | 2015-11-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-11-05 | OSORIO-CAMPBELL, BERTHA L | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-02-16 |
| ANNUAL REPORT | 2020-04-05 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-02-23 |
| ANNUAL REPORT | 2016-03-08 |
| LC Amendment | 2015-11-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
