| Entity Name: | PCN HEALTH AND WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PCN HEALTH AND WELLNESS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 04 Apr 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 19 Jul 2022 (3 years ago) |
| Document Number: | L19000092976 |
| FEI/EIN Number |
83-4347492
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2627 NE 203RD STREET, 100A, AVENTURA, FL, 33180, US |
| Mail Address: | 2627 NE 203RD STREET, 100A, AVENTURA, FL, 33180, US |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922618503 | 2020-08-07 | 2020-08-07 | 2627 NE 203RD ST STE 100A, MIAMI, FL, 331801945, US | 2627 NE 203RD ST STE 100A, MIAMI, FL, 331801945, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-466-9498 |
| Fax | 3054669698 |
Authorized person
| Name | MS. CLORA ADKINS |
| Role | OWNER |
| Phone | 3054669498 |
Taxonomy
| Taxonomy Code | 204D00000X - Neuromusculoskeletal Medicine & OMM Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| Is Primary | No |
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | No |
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | No |
| Taxonomy Code | 213E00000X - Podiatrist |
| Is Primary | No |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ADKINS CLORA D | Vice President | 2627 NE 203RD STREET, #100A, AVENTURA, FL, 33180 |
| NELSON PERCY Dr. | President | 2627 NE 203RD STREET, AVENTURA, FL, 33180 |
| NELSON PERCY LDR. | Authorized Member | 2627 NE 203RD STREET, SUITE 100A, AVENTURA, FL, 33180 |
| ADKINS CLORA | Authorized Member | 2627 NE 203RD STREET, AVENTURA, FL, 33180 |
| ADKINS CLORA D | Agent | 2627 NE 203RD STREET, AVENTURA, FL, 33180 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000044929 | GREEN LEAF MEDICINE | ACTIVE | 2019-04-09 | 2029-12-31 | - | 20533 BISCAYNE BOULEVARD, #476, AVENTURA, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-07-19 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-23 | 2627 NE 203RD STREET, 100A, AVENTURA, FL 33180 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-05 | 2627 NE 203RD STREET, 100A, AVENTURA, FL 33180 | - |
| CHANGE OF MAILING ADDRESS | 2020-05-05 | 2627 NE 203RD STREET, 100A, AVENTURA, FL 33180 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-23 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-08-17 |
| LC Amendment | 2022-07-19 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-05-05 |
| Florida Limited Liability | 2019-04-04 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
