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VIRA WELLNESS LLC

Company Details

Entity Name: VIRA WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Nov 2019 (5 years ago)
Document Number: L19000291568
FEI/EIN Number 84-4004236
Address: 2429 HOLLYWOOD BLVD #300, HOLLYWOOD, FL, 33020, US
Mail Address: 2429 HOLLYWOOD BLVD #300, HOLLYWOOD, FL, 33020, US
ZIP code: 33020
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205452067 2020-06-17 2020-06-17 2429 HOLLYWOOD BLVD STE 300, HOLLYWOOD, FL, 330206605, US 2429 HOLLYWOOD BLVD STE 300, HOLLYWOOD, FL, 330206605, US

Contacts

Phone +1 954-669-1125
Fax 9546887010

Authorized person

Name MR. CARLOS PROENZA
Role OWNER
Phone 9546691125

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary No
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes
Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary No

Agent

Name Role Address
NAMM JARED BEsq. Agent 3351 NW BOCA RATON BLVD, BOCA RATON, FL, 33431

Manager

Name Role Address
PROENZA CARLOS Manager 2429 HOLLYWOOD BLVD #300, HOLLYWOOD, FL, 33020
REYES JESUS O Manager 2429 HOLLYWOOD BLVD #300, HOLLYWOOD, FL, 33020

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-04-10 NAMM, JARED BLAKE, Esq. No data
CHANGE OF PRINCIPAL ADDRESS 2020-09-02 2429 HOLLYWOOD BLVD #300, HOLLYWOOD, FL 33020 No data
CHANGE OF MAILING ADDRESS 2020-09-02 2429 HOLLYWOOD BLVD #300, HOLLYWOOD, FL 33020 No data

Documents

Name Date
ANNUAL REPORT 2024-04-15
ANNUAL REPORT 2023-03-27
AMENDED ANNUAL REPORT 2022-07-12
ANNUAL REPORT 2022-04-17
ANNUAL REPORT 2021-04-10
ANNUAL REPORT 2020-06-24
Florida Limited Liability 2019-11-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State