| Entity Name: | BLOOM HEALTH & WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Feb 2019 (6 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 01 Oct 2021 (3 years ago) |
| Document Number: | L19000047385 |
| FEI/EIN Number | 83-3874988 |
| Address: | 4300 S. US HWY 1 - STE. 203-197, JUPITER, FL, 33477, US |
| Mail Address: | 4300 S. US HWY 1 - STE. 203-197, JUPITER, FL, 33477, US |
| ZIP code: | 33477 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043852734 | 2019-10-14 | 2022-03-24 | 4300 S US HIGHWAY 1 STE 203-197, JUPITER, FL, 334771198, US | 4300 S US HIGHWAY 1 STE 203-197, JUPITER, FL, 334771198, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 407-968-1500 |
Authorized person
| Name | DR. AMANDA NICOLE DELGADO |
| Role | OWNER |
| Phone | 4079681500 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DELGADO-MATTERN AMANDA N | Agent | 4300 S. US HWY 1 - STE. 203-197, JUPITER, FL, 33477 |
| Name | Role | Address |
|---|---|---|
| DELGADO-MATTERN AMANDA N | Manager | 4300 S. US HWY 1 - STE. 203-197, JUPITER, FL, 33477 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2021-10-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-01 | 4300 S. US HWY 1 - STE. 203-197, JUPITER, FL 33477 | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-01 | 4300 S. US HWY 1 - STE. 203-197, JUPITER, FL 33477 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-10-01 | 4300 S. US HWY 1 - STE. 203-197, JUPITER, FL 33477 | No data |
| LC STMNT OF RA/RO CHG | 2019-10-21 | No data | No data |
| LC STMNT OF RA/RO CHG | 2019-05-31 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-04-27 |
| CORLCRACHG | 2021-10-01 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-03-18 |
| CORLCRACHG | 2019-10-21 |
| CORLCRACHG | 2019-05-31 |
| Florida Limited Liability | 2019-02-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
