| Entity Name: | MANGO WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jan 2018 (7 years ago) |
| Document Number: | L18000015606 |
| FEI/EIN Number | 82-4636780 |
| Address: | 2801 13TH STREET, ST CLOUD, FL, 34769, US |
| Mail Address: | 2801 13TH STREET, ST CLOUD, FL, 34769, US |
| ZIP code: | 34769 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912570987 | 2021-07-19 | 2021-09-20 | 2801 13TH ST, SAINT CLOUD, FL, 347694134, US | 2801 13TH ST, SAINT CLOUD, FL, 347694134, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 407-593-2958 |
| Fax | 4075932957 |
Authorized person
| Name | SIBY THOMAS PUTHENPURAYIL |
| Role | OWNER/AUTHORIZED OFFICIAL |
| Phone | 4075932958 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PUTHENPURAYIL SIBY T | Agent | 2801 13TH STREET, ST CLOUD, FL, 34769 |
| Name | Role | Address |
|---|---|---|
| JACOB SHEEJA | Manager | 2801 13TH STREET, ST CLOUD, FL, 34769 |
| Name | Role | Address |
|---|---|---|
| PUTHENPURAYIL SIBY T | Chief Executive Officer | 2801 13TH STREET, ST CLOUD, FL, 34769 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-01-19 |
| AMENDED ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-01-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
