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BODY & SOLE WELLNESS, LLC

Company Details

Entity Name: BODY & SOLE WELLNESS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Aug 2017 (7 years ago)
Document Number: L17000176402
FEI/EIN Number 82-3170926
Mail Address: 9640 NW 10TH COURT, PLANTATION, FL, 33322, US
Address: 9640 NW 10th Court, Plantaion, FL, 33322, US
ZIP code: 33322
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366956518 2017-11-27 2017-11-27 9640 NW 10TH CT, PLANTATION, FL, 333224851, US 8585 SUNSET DR STE 103, MIAMI, FL, 331433753, US

Contacts

Phone +1 954-243-9946

Authorized person

Name DR. YANA NICOLE BLAISE
Role PRESIDENT
Phone 9542439946

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 9279753
State FL
Is Primary Yes

Agent

Name Role Address
BLAISE YANA N Agent 9640 NW 10th Court, Plantation, FL, 33322

Manager

Name Role Address
BLAISE YANA N Manager 9640 NW 10TH COURT, PLANTATION, FL, 33322

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-07-24 9640 NW 10th Court, Plantaion, FL 33322 No data
REGISTERED AGENT ADDRESS CHANGED 2024-07-24 9640 NW 10th Court, Plantation, FL 33322 No data

Documents

Name Date
ANNUAL REPORT 2024-07-24
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-05-01
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-09-09
ANNUAL REPORT 2018-04-20
Florida Limited Liability 2017-08-17

Date of last update: 01 Feb 2025

Sources: Florida Department of State