| Entity Name: | WELLNESS & RECOVERY PSYCHIATRY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Feb 2020 (5 years ago) |
| Document Number: | L20000032464 |
| FEI/EIN Number | 84-4602875 |
| Address: | 3430 NW 97 ST, MIAMI, FL, 33147 |
| Mail Address: | 3430 NW 97 ST, MIAMI, FL, 33147 |
| ZIP code: | 33147 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760075162 | 2021-02-16 | 2021-02-16 | 3430 NW 97TH ST, MIAMI, FL, 331472237, US | 3430 NW 97TH ST, MIAMI, FL, 331472237, US | |||||||||||||
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| Phone | +1 786-597-7426 |
Authorized person
| Name | MARLON MEDINA |
| Role | APRN |
| Phone | 7865977426 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MEDINA MARLON | Agent | 3430 NW 97 ST, MIAMI, FL, 33147 |
| Name | Role | Address |
|---|---|---|
| MEDINA MARLON | Manager | 3430 NW 97 ST, MIAMI, FL, 33147 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-04-02 |
| Florida Limited Liability | 2020-02-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
