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WELLNESSCLINIC ON WHEELS LLC

Company Details

Entity Name: WELLNESSCLINIC ON WHEELS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Dec 2017 (7 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 08 Nov 2021 (3 years ago)
Document Number: L17000253341
FEI/EIN Number 82-3670399
Address: 1747 FORT SMITH BLVD, DELTONA, FL, 32725, US
Mail Address: 1747 FORT SMITH BLVD, DELTONA, FL, 32725, US
ZIP code: 32725
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750046363 2021-11-08 2022-09-09 1747 FORT SMITH BLVD, DELTONA, FL, 327253728, US 1747 FORT SMITH BLVD, DELTONA, FL, 327253728, US

Contacts

Phone +1 202-834-7722

Authorized person

Name EL AGATHE ASOPO TEMBENG
Role OWNER
Phone 2028347722

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
tanyi el a Agent 1747 FORT SMITH BLVD, DELTONA, FL, 32725

Authorized Member

Name Role Address
TANYI EL AGATHE Authorized Member 1747 FORT SMITH BLVD, DELTONA, FL, 32725

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-04-20 1747 FORT SMITH BLVD, DELTONA, FL 32725 No data
LC NAME CHANGE 2021-11-08 WELLNESSCLINIC ON WHEELS LLC No data
REINSTATEMENT 2020-12-18 No data No data
REGISTERED AGENT NAME CHANGED 2020-12-18 tanyi, el agathe No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-25
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-04-20
LC Name Change 2021-11-08
ANNUAL REPORT 2021-09-17
REINSTATEMENT 2020-12-18
Florida Limited Liability 2017-12-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State