| Entity Name: | EPIC WELLNESS CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Oct 2018 (6 years ago) |
| Document Number: | L18000251199 |
| FEI/EIN Number | 83-2384538 |
| Address: | 465 W 41st ST, PH, MIAMI BEACH, FL, FL 33140 |
| Mail Address: | 16205 NW 20th St, Pembroke Pines, FL 33028 |
| ZIP code: | 33140 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396214102 | 2018-11-21 | 2019-09-22 | 309 S 57TH TER, HOLLYWOOD, FL, 330231426, US | 465 W 41ST ST PH, MIAMI BEACH, FL, 331403503, US | |||||||||||||
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| Phone | +1 786-708-7166 |
Authorized person
| Name | NICOLE BERRY |
| Role | CEO |
| Phone | 3053384027 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CETIN, GULSAH | Agent | 420 W 63 ST, MIAMI BEACH, FL, FL 33141 |
| Name | Role | Address |
|---|---|---|
| Berry, Nicole | Manager | 16205 NW 20th St, Pembroke Pines, FL 33028 |
| CETIN, GULSAH | Manager | 420 W 63 ST, MIAMI BEACH, FL 33143 |
| RODRIGUEZ, JOSEPHINE | Manager | 5412 EAST LEITNER DRIVE, CORAL SPRINGS, FL 33067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-28 | 465 W 41st ST, PH, MIAMI BEACH, FL, FL 33140 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-28 | 465 W 41st ST, PH, MIAMI BEACH, FL, FL 33140 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-04-03 |
| Florida Limited Liability | 2018-10-25 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
