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UNITY ADVANCED HEALTHCARE AND WELLNESS, PLLC

Company Details

Entity Name: UNITY ADVANCED HEALTHCARE AND WELLNESS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Dec 2019 (5 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 08 May 2024 (9 months ago)
Document Number: L19000296351
FEI/EIN Number 84-4052581
Address: 7750 okeechobee blvd, west palm beach, FL, 33411, US
Mail Address: 16667 Murcott Blvd, Loxahatchee, FL, 33470, US
ZIP code: 33411
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992304216 2020-10-19 2024-08-08 3370 BURNS RD, PALM BEACH GARDENS, FL, 334104327, US 3370 BURNS RD, PALM BEACH GARDENS, FL, 334104327, US

Contacts

Phone +1 561-301-8675

Authorized person

Name MRS. MARIE RACHEL PREVILUS
Role AMBR
Phone 5613018675

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
Duclair Marie VDr. Agent 16667 Murcott Blvd, Loxhatchee, FL, 33470

Authorized Member

Name Role Address
DUCLAIR MARIE V Authorized Member 16667 MURCOTT BLVD, LOXAHATCHEE, FL, 33470
PREVILUS MARIE R Authorized Member 13683 PERSIMMON BLVD, WEST PALM BEACH, FL, 33411

Events

Event Type Filed Date Value Description
LC NAME CHANGE 2024-05-08 UNITY ADVANCED HEALTHCARE AND WELLNESS, PLLC No data
REGISTERED AGENT NAME CHANGED 2023-04-28 Duclair, Marie Voline, Dr. No data
REINSTATEMENT 2023-04-28 No data No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-28 16667 Murcott Blvd, Loxhatchee, FL 33470 No data
CHANGE OF MAILING ADDRESS 2023-04-28 7750 okeechobee blvd, west palm beach, FL 33411 No data
CHANGE OF PRINCIPAL ADDRESS 2022-03-17 7750 okeechobee blvd, west palm beach, FL 33411 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data

Documents

Name Date
LC Name Change 2024-05-08
ANNUAL REPORT 2024-04-24
REINSTATEMENT 2023-04-28
ANNUAL REPORT 2020-06-15
Florida Limited Liability 2019-12-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State