| Entity Name: | MILLENNIUM WELLNESS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Mar 2016 (9 years ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 13 Nov 2017 (7 years ago) |
| Document Number: | L16000066300 |
| FEI/EIN Number | 81-1979967 |
| Address: | 1324 SE 17TH ST, FT LAUDERDALE, FL, 33316, US |
| Mail Address: | 1324 SE 17TH ST, FT LAUDERDALE, FL, 33316, US |
| ZIP code: | 33316 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730631037 | 2016-11-03 | 2016-11-03 | 110 N FEDERAL HWY, 104, HALLANDALE BEACH, FL, 330094300, US | 110 N FEDERAL HWY, 104, HALLANDALE BEACH, FL, 330094300, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-417-0006 |
Authorized person
| Name | ZHANNA ZITSBANK |
| Role | MEMBER |
| Phone | 3054170006 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY 8220 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| License Number | PA 9104275 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BELL RUDY | Agent | 1324 SE 17TH ST, FT LAUDERDALE, FL, 33316 |
| Name | Role | Address |
|---|---|---|
| MAG KAMIL | Authorized Member | 1324 SE 17TH ST, FT LAUDERDALE, FL, 33316 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-02-02 | 1324 SE 17TH ST, FT LAUDERDALE, FL 33316 | No data |
| LC DISSOCIATION MEM | 2017-11-13 | No data | No data |
| LC AMENDMENT | 2017-08-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-08-07 | 1324 SE 17TH ST, FT LAUDERDALE, FL 33316 | No data |
| CHANGE OF MAILING ADDRESS | 2017-08-07 | 1324 SE 17TH ST, FT LAUDERDALE, FL 33316 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-01-09 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-03-15 |
| ANNUAL REPORT | 2018-02-02 |
| CORLCDSMEM | 2017-11-13 |
| LC Amendment | 2017-08-07 |
| ANNUAL REPORT | 2017-02-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
