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WELLNESS CLINIQUE LLC

Company Details

Entity Name: WELLNESS CLINIQUE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Aug 2017 (7 years ago)
Document Number: L17000185893
FEI/EIN Number 82-2661059
Address: 13381 Beebe Aly, Orlando, FL, 32827, US
Mail Address: 13381 Beebe Aly, Orlando, FL, 32827, US
ZIP code: 32827
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629596499 2017-08-31 2020-10-29 13381 BEEBE ALY, ORLANDO, FL, 328277667, US 6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL, 328277593, US

Contacts

Phone +1 407-717-2147

Authorized person

Name JAY EPSTEIN
Role MANAGER
Phone 2157159519

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
Epstein Jay R Agent 13381 Beebe Aly, Orlando, FL, 32827

Manager

Name Role Address
EPSTEIN JAY R Manager 13381 Beebe Aly, Orlando, FL, 32827

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-02-12 13381 Beebe Aly, Orlando, FL 32827 No data
CHANGE OF MAILING ADDRESS 2019-02-12 13381 Beebe Aly, Orlando, FL 32827 No data
REGISTERED AGENT NAME CHANGED 2019-02-12 Epstein, Jay R No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-12 13381 Beebe Aly, Orlando, FL 32827 No data

Documents

Name Date
ANNUAL REPORT 2024-03-12
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-07-18
Florida Limited Liability 2017-08-30

Date of last update: 01 Feb 2025

Sources: Florida Department of State