| Entity Name: | MEADOWS WELLNESS CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Jul 2018 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 10 Jun 2022 (3 years ago) |
| Document Number: | L18000160126 |
| FEI/EIN Number | 83-1082436 |
| Address: | 151 MARY ESTHER BLVD, 403A, MARY ESTHER, FL 32569 |
| Mail Address: | 151 MARY ESTHER BLVD, 403A, MARY ESTHER, FL 32569 |
| ZIP code: | 32569 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528539855 | 2018-12-16 | 2018-12-16 | 151 MARY ESTHER BLVD STE 403A, MARY ESTHER, FL, 325691975, US | 151 MARY ESTHER BLVD STE 403A, MARY ESTHER, FL, 325691975, US | |||||||||||||||||
|
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| Phone | +1 850-226-8117 |
Authorized person
| Name | ANGELA MEADOWS |
| Role | APRN |
| Phone | 8502268117 |
Taxonomy
| Taxonomy Code | 363LA2100X - Acute Care Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MEADOWS, ANGELA | Agent | 151 MARY ESTHER BLVD STE 403 A, MARY ESTHER, FL 32569 |
| Name | Role | Address |
|---|---|---|
| MEADOWS, ANGELA | Chief Executive Officer | 151 MARY ESTHER BLVD, 403A MARY ESTHER, FL 32569 |
| Name | Role | Address |
|---|---|---|
| Meadows-Soskin, Felicia | Authorized Person | 7316 Bridgeview Dr, wesley chapel, FL 33545 |
| Joyer, Kirsten | Authorized Person | 7316 Bridgeview Dr, wesley chapel, FL 33545 |
| Name | Role | Address |
|---|---|---|
| Joyer, Kirsten | Office Manager | 7316 Bridgeview Dr, wesley chapel, FL 33545 |
| Name | Role | Address |
|---|---|---|
| MEADOWS, ANGELA | Manager | 151 MARY ESTHER BLVD STE 403 A, MARY ESTHER, FL 32569 |
| Name | Role | Address |
|---|---|---|
| MEADOWS-SOSKIN, FELICIA | Authorized Member | 602 EDGAR ST, THROOP, PA 18512 |
| JOYER, KIRSTEN | Authorized Member | 7316 BRIDGEVIEW DR, WESLEY CHAPEL, FL 33545 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-06-10 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-06-10 | 151 MARY ESTHER BLVD STE 403 A, MARY ESTHER, FL 32569 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-20 | 151 MARY ESTHER BLVD, 403A, MARY ESTHER, FL 32569 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-04-03 |
| LC Amendment | 2022-06-10 |
| ANNUAL REPORT | 2022-05-03 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-04-04 |
| ANNUAL REPORT | 2019-04-24 |
| Florida Limited Liability | 2018-07-02 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
