| Entity Name: | EVOKE WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Feb 2018 (7 years ago) |
| Document Number: | L18000035429 |
| FEI/EIN Number | 82-4368971 |
| Mail Address: | 3600 RED ROAD, SUITE 606A, MIRAMAR, FL 33025 |
| Address: | 3600 Red Road, Suite 501, Miramar, FL 33025 |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972003523 | 2018-02-20 | 2023-04-27 | 3600 RED RD STE 501, MIRAMAR, FL, 330256015, US | 3600 RED RD STE 501, MIRAMAR, FL, 330256015, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 954-228-1828 |
| Fax | 9549906305 |
Authorized person
| Name | SHERITA CHANG |
| Role | CRO/PARTNER |
| Phone | 9549932040 |
Taxonomy
| Taxonomy Code | 2084B0040X - Behavioral Neurology & Neuropsychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0802X - Addiction Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 320800000X - Mental Illness Community Based Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| License Number | 1019010 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCKINNELL, NEIL J, JR. | Agent | 3600 RED ROAD, SUITE 501, MIRAMAR, FL 33025 |
| Name | Role | Address |
|---|---|---|
| MCKINNELL, NEIL J | Manager | 3600 RED ROAD, SUITE 501 MIRAMAR, FL 33025 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000000761 | EVOKE WELLNESS AT MIRAMAR | ACTIVE | 2024-01-03 | 2029-12-31 | No data | 3600 RED ROAD, SUITE 601A, MIRAMAR, FL, 33025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-08 | 3600 Red Road, Suite 501, Miramar, FL 33025 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-14 | 3600 Red Road, Suite 501, Miramar, FL 33025 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-14 | MCKINNELL, NEIL J, JR. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-14 | 3600 RED ROAD, SUITE 501, MIRAMAR, FL 33025 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-02-18 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-03-27 |
| Florida Limited Liability | 2018-02-08 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
