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WELLNESS I AM LLC

Company Details

Entity Name: WELLNESS I AM LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 09 Jan 2020 (5 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L20000016717
FEI/EIN Number 84-4514948
Address: 3800 NW 120TH WAY, SUNRISE, FL 33323
Mail Address: 3800 NW 120TH WAY, SUNRISE, FL 33323
ZIP code: 33323
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578142717 2021-04-05 2021-04-05 1682 LARA ST NE, PALM BAY, FL, 329072421, US 1682 LARA ST NE, PALM BAY, FL, 329072421, US

Contacts

Phone +1 754-218-7582

Authorized person

Name JONQUIL CROWOLL
Role OWNER/ADMINISTRATOR
Phone 7542187582

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Agent

Name Role Address
CROWOLL-FONSECA, JONQUIL Agent 3800 NW 120TH WAY, SUNRISE, FL 33323

Manager

Name Role Address
CROWOLL-FONSECA, JONQUIL Manager 3800 NW 120TH WAY, SUNRISE, FL 33323
FONSECA, OMAR Manager 3800 NW 120TH WAY, SUNRISE, FL 33323

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2021-03-12
Florida Limited Liability 2020-01-09

Date of last update: 16 Jan 2025

Sources: Florida Department of State