| Entity Name: | MOSAIC WELLNESS COLLECTIVE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Dec 2018 (6 years ago) |
| Document Number: | L18000277559 |
| FEI/EIN Number | 83-2760796 |
| Address: | 3800 w bay to bay blvd, SUITE 12, TAMPA, FL, 33629, US |
| Mail Address: | 3800 w bay to bay blvd, TAMPA, FL, 33629, US |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235798315 | 2019-06-11 | 2019-06-11 | 6105 CHENE CT, LUTZ, FL, 335582849, US | 1200 W PLATT ST STE 202, TAMPA, FL, 336062136, US | |||||||||||||||
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| Phone | +1 615-428-9458 |
| Phone | +1 813-862-1236 |
Authorized person
| Name | LISA MICHELLE GIARRATANA |
| Role | OWNER/THERAPIST |
| Phone | 8138621236 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GIARRATANA LISA | Agent | 3800 w bay to bay blvd, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| GIARRATANA LISA | Manager | 3800 w bay to bay blvd, TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-04 | 3800 w bay to bay blvd, SUITE 12, TAMPA, FL 33629 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-04 | 3800 w bay to bay blvd, SUITE 12, TAMPA, FL 33629 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-04 | 3800 w bay to bay blvd, Suite 12, TAMPA, FL 33629 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-22 |
| Florida Limited Liability | 2018-12-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
