| Entity Name: | MODERN RECOVERY & WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 13 Jun 2016 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L16000114095 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 3215 nw 10th terrace, #209B, Oakland Park, FL 33309 |
| Mail Address: | 6511 NOVA DRIVE, 307, DAVIE, FL 33317 |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881136737 | 2016-11-09 | 2016-11-09 | 3215 NW 10TH TER STE 209B, OAKLAND PARK, FL, 333095934, US | 3215 NW 10TH TER STE 209B, OAKLAND PARK, FL, 333095934, US | |||||||||||||
|
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| Phone | +1 954-451-3073 |
Authorized person
| Name | ANGELA IACULLO |
| Role | BILLING |
| Phone | 9544158781 |
Taxonomy
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HYPPOLITE, IVAN | Agent | 6511 NOVA DRIVE, 307, DAVIE, FL 33317 |
| Name | Role | Address |
|---|---|---|
| HYPPOLITE, IVAN | Manager | 6511 NOVA DRIVE #307, DAVIE, FL 33317 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-05-01 | 3215 nw 10th terrace, #209B, Oakland Park, FL 33309 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-30 |
| Florida Limited Liability | 2016-06-13 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
