| Entity Name: | ISAIAH 58 HEALTH & WELLNESS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ISAIAH 58 HEALTH & WELLNESS CENTER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 21 May 2018 (7 years ago) |
| Document Number: | L18000126768 |
| FEI/EIN Number |
83-0584222
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 492 MAPLE AVENUE, FORT PIERCE, FL, 34982, US |
| Mail Address: | 492 Maple Avenue, FORT PIERCE, FL, 34982, US |
| ZIP code: | 34982 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407349665 | 2018-06-12 | 2019-12-16 | PO BOX 12144, FORT PIERCE, FL, 349792144, US | 494 MAPLE AVE, FORT PIERCE, FL, 349825949, US | |||||||||||||||||||||||
|
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| Phone | +1 772-267-0516 |
Authorized person
| Name | MRS. EVA BRYANT |
| Role | FAMILY NURSE PRACTITIONER |
| Phone | 7722670516 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ARNP9338409 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AMERICAN ASSOCIATION OF NURSE PRACTITIONER |
| Number | 1717997 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Bryant Evangelina | Officer | 492 MAPLE AVENUE, FORT PIERCE, FL, 34982 |
| BRYANT EVANGELINA ARNP | Agent | 566 SW ASTER ROAD, PORT ST LUCIE, FL, 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-16 | 492 MAPLE AVENUE, FORT PIERCE, FL 34982 | - |
| CHANGE OF MAILING ADDRESS | 2022-02-16 | 492 MAPLE AVENUE, FORT PIERCE, FL 34982 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-02-04 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-03-01 |
| ANNUAL REPORT | 2019-04-13 |
| Florida Limited Liability | 2018-05-21 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
