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BEYOND THE BODY WELLNESS, LLC

Company Details

Entity Name: BEYOND THE BODY WELLNESS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Jun 2018 (7 years ago)
Document Number: L18000149732
FEI/EIN Number 83-0959347
Address: 1121 Homestead Rd N, LEHIGH ACRES, FL, 33936, US
Mail Address: 1121 Homestead Rd N, LEHIGH ACRES, FL, 33936, US
ZIP code: 33936
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194473751 2022-03-14 2022-03-14 1121 HOMESTEAD RD N STE 279, LEHIGH ACRES, FL, 339366038, US 1121 HOMESTEAD RD N STE 279, LEHIGH ACRES, FL, 339366038, US

Contacts

Phone +1 765-432-7195

Authorized person

Name MRS. DEDRA D COOP
Role NP/PRESIDENT
Phone 7654327195

Taxonomy

Taxonomy Code 363LP2300X - Primary Care Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
COOP MARK A Agent 4403 E 19TH ST, LEHIGH ACRES, FL, 33972

Authorized Member

Name Role Address
COOP DEDRA D Authorized Member 4403 E 19TH ST, LEHIGH ACRES, FL, 33972

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-24 1121 Homestead Rd N, Suite 279, LEHIGH ACRES, FL 33936 No data
CHANGE OF MAILING ADDRESS 2022-01-24 1121 Homestead Rd N, Suite 279, LEHIGH ACRES, FL 33936 No data

Documents

Name Date
ANNUAL REPORT 2024-01-26
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-02-19
ANNUAL REPORT 2019-05-08
Florida Limited Liability 2018-06-18

Date of last update: 01 Feb 2025

Sources: Florida Department of State