| Entity Name: | ROOT & BRANCH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Jan 2016 (9 years ago) |
| Document Number: | L16000005105 |
| FEI/EIN Number | 82-3647232 |
| Address: | 3602 MADACA LANE, TAMPA, FL 33618 |
| Mail Address: | 12651 N. DALE MABRY HWY, #270657, TAMPA, FL 33688 |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134622392 | 2018-03-14 | 2018-07-22 | 12651 N DALE MABRY HWY UNIT 270657, TAMPA, FL, 336889028, US | 3602 MADACA LN, TAMPA, FL, 33618, US | |||||||||||||||||
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| Phone | +1 813-992-5421 |
Authorized person
| Name | LAUREN POLM |
| Role | CEO |
| Phone | 8134605222 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP3903 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Polm, Lauren | Agent | 12651 N. DALE MABRY HWY, #270657, TAMPA, FL 33688 |
| Name | Role | Address |
|---|---|---|
| POLM, LAUREN | Chief Executive Officer | 12651 N. DALE MABRY HWY # 270657, TAMPA, FL 33688 |
| Name | Role | Address |
|---|---|---|
| POLM, LAUREN | Managing Member | 12651 N. DALE MABRY HWY # 270657, TAMPA, FL 33688 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000012175 | ROOT & BRANCH MEDICINE | ACTIVE | 2018-01-22 | 2028-12-31 | No data | 12651 N. DALE MABRY HWY, #270657, TAMPA, FL, 33688 |
| G17000135053 | PRIMAL BOTANY | ACTIVE | 2017-12-11 | 2027-12-31 | No data | 12651 N. DALE MABRY HWY. #270657, TAMPA, FL, 33688 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-27 | 3602 MADACA LANE, TAMPA, FL 33618 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-22 | Polm, Lauren | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-22 | 12651 N. DALE MABRY HWY, #270657, TAMPA, FL 33688 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-10 |
| ANNUAL REPORT | 2023-04-15 |
| ANNUAL REPORT | 2022-02-05 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-02-18 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-02-12 |
| Florida Limited Liability | 2016-01-07 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
