| Entity Name: | PURE IV HEALTH & WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Oct 2018 (6 years ago) |
| Document Number: | L18000247932 |
| FEI/EIN Number | 83-2316954 |
| Address: | 4400 N Federal Hwy, Boca Raton, FL, 33431, US |
| Mail Address: | PO Box 210921, Royal Palm Beach, FL, 33421, US |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396212684 | 2018-10-25 | 2018-10-26 | 17977 KEYLIME BLVD, LOXAHATCHEE, FL, 33470, US | 4600 MILITARY TRL STE 110, JUPITER, FL, 334584811, US | |||||||||||||||||||||||
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| Phone | +1 561-774-3443 |
| Fax | 5616306011 |
Authorized person
| Name | SKYLAR S MILORD |
| Role | CEO |
| Phone | 5617743443 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MILORD SKYLAR S | Agent | 4400 N Federal Hwy, Boca Raton, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| MILORD SKYLAR S | President | 4400 N Federal Hwy, Boca Raton, FL, 33431 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000011338 | WINGZ UNLIMITED | ACTIVE | 2023-01-24 | 2028-12-31 | No data | PO BOX 210921, ROYAL PALM BEACH, FL, 33421 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-27 | 4400 N Federal Hwy, Suite 210-36, Boca Raton, FL 33431 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-27 | 4400 N Federal Hwy, Suite 210-36, Boca Raton, FL 33431 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-29 | 4400 N Federal Hwy, Suite 210-36, Boca Raton, FL 33431 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-01-25 |
| Florida Limited Liability | 2018-10-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
