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MANGO WELLNESS LLC - Florida Company Profile

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Company Details

Entity Name: MANGO WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Jan 2018 (8 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
City: Saint Cloud
County: Osceola
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JACOB SHEEJA Manager 2801 13TH STREET, ST CLOUD, FL, 34769
PUTHENPURAYIL SIBY T Chief Executive Officer 2801 13TH STREET, ST CLOUD, FL, 34769
PUTHENPURAYIL SIBY T Agent 2801 13TH STREET, ST CLOUD, FL, 34769

National Provider Identifier

NPI Number:
1912570987
Certification Date:
2021-09-20

Authorized Person:

Name:
SIBY THOMAS PUTHENPURAYIL
Role:
OWNER/AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4075932957

Documents

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

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Date of last update: 02 Aug 2025

Sources: Florida Department of State