| Entity Name: | ADVANCED SKIN AND WOUND CARE SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jul 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Jul 2024 (7 months ago) |
| Document Number: | L18000173649 |
| FEI/EIN Number | 833534671 |
| Address: | 2 Zuni Circle, Pensacola, FL, 32507, US |
| Mail Address: | 2 Zuni Circle, Pensacola, FL, 32507, US |
| ZIP code: | 32507 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285257402 | 2020-05-21 | 2022-03-11 | 2 ZUNI CIR, PENSACOLA, FL, 325078725, US | 2 ZUNI CIR, PENSACOLA, FL, 325078725, US | |||||||||||||||||||
|
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| Phone | +1 850-621-3109 |
Authorized person
| Name | MELANIE MANNEY |
| Role | OWNER |
| Phone | 8506213109 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 106126600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Manney MELANIE | Agent | 2 Zuni Circle, Pensacola, FL, 32507 |
| Name | Role | Address |
|---|---|---|
| MANNEY MELANIE | Manager | 2 Zuni Circle, Pensacola, FL, 32507 |
| MANNEY RODNEY | Manager | 2 Zuni Circle, Pensacola, FL, 32507 |
| DOLAN COREY | Manager | 5264 Choctaw Ave, Pensacola, FL, 32507 |
| DOLAN NICHOLAS | Manager | 5264 Choctaw Ave, Pensacola, FL, 32507 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000016449 | ATHENA WOUND MANAGEMENT | ACTIVE | 2020-02-05 | 2025-12-31 | No data | 7705 15TH AVE NW, BRADENTON, FL, 34209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-07-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-08 | 2 Zuni Circle, Pensacola, FL 32507 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-08 | 2 Zuni Circle, Pensacola, FL 32507 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-08 | 2 Zuni Circle, Pensacola, FL 32507 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-05-05 | Manney, MELANIE | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-07-08 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-05-05 |
| ANNUAL REPORT | 2019-04-08 |
| Florida Limited Liability | 2018-07-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
