| Entity Name: | WELLSPRING PRESERVATION MEDICAL VACATION BOUTIQUE & SPA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Aug 2017 (7 years ago) |
| Document Number: | L17000168742 |
| FEI/EIN Number | 82-2462914 |
| Address: | 14051 SW 152ND TER, MIAMI, FL, FL, 33177, US |
| Mail Address: | 14051 SW 152ND TER, MIAMI, FL, FL, 33177, US |
| ZIP code: | 33177 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306301635 | 2019-01-31 | 2019-01-31 | 14051 SW 152ND TER, MIAMI, FL, 331770910, US | 14051 SW 152ND TER, MIAMI, FL, 331770910, US | |||||||||||||
|
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| Phone | +1 786-261-9088 |
Authorized person
| Name | MS. SOPHIA M FERGUSON |
| Role | AGACNP-BC |
| Phone | 7862619088 |
Taxonomy
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERGUSON SOPHIA M | Agent | 14051 SW 152ND TER, MIAMI, FL, 33177 |
| Name | Role | Address |
|---|---|---|
| SMITH OMAR M | Manager | 14051 SW 152ND Terrace, MIAMI, FL, 33177 |
| SMITH MCNEIL | Manager | 14051 SW 152 TER, MIAMI, FL, 33177 |
| SMITH SHEYENNE M | Manager | 14051 SW 152ND Terrace, MIAMI, FL, 33177 |
| FERGUSON SEAN M | Manager | 14051 SW 152ND Terrace, MIAMI, FL, 33177 |
| Name | Role | Address |
|---|---|---|
| Ferguson Sophia M | Chief Executive Officer | 14051 SW 152ND TER, MIAMI, FL, FL, 33177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-10 | 14051 SW 152ND TER, MIAMI, FL 33177 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-19 | 14051 SW 152ND TER, MIAMI, FL, FL 33177 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-19 | 14051 SW 152ND TER, MIAMI, FL, FL 33177 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-04-10 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-18 |
| Florida Limited Liability | 2017-08-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
