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CONQUEST HEALTH & WELLNESS, LLC.

Company Details

Entity Name: CONQUEST HEALTH & WELLNESS, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Feb 2017 (8 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 30 Mar 2020 (5 years ago)
Document Number: L17000041974
FEI/EIN Number 81-5481748
Address: 2015 SHANNON LAKES COURT, KISSIMMEE, FL, 34743
Mail Address: 2015 SHANNON LAKES COURT, KISSIMMEE, FL, 34743
ZIP code: 34743
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316565252 2020-07-07 2020-07-07 1317 EDGEWATER DR # 875, ORLANDO, FL, 328046350, US 2015 SHANNON LAKES CT, KISSIMMEE, FL, 347433651, US

Contacts

Phone +1 407-694-6304

Authorized person

Name JAVIER ESTEBAN ROSARIO
Role LCSW/EXECUTIVE DIRECTOR
Phone 4076946304

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
ROSARIO JAVIER E Agent 2015 SHANNON LAKES COURT, KISSIMMEE, FL, 34743

Auth

Name Role Address
Amich Maria B Auth 2015 SHANNON LAKES COURT, KISSIMMEE, FL, 34743

Chief Executive Officer

Name Role Address
Rosario Javier E Chief Executive Officer 2015 SHANNON LAKES COURT, KISSIMMEE, FL, 34743

Events

Event Type Filed Date Value Description
REINSTATEMENT 2020-03-30 No data No data
REGISTERED AGENT NAME CHANGED 2020-03-30 ROSARIO, JAVIER E No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-02-04
ANNUAL REPORT 2021-01-28
REINSTATEMENT 2020-03-30
ANNUAL REPORT 2018-02-10
Florida Limited Liability 2017-02-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State