| Entity Name: | NEW IDENTITY WELLNESS CENTER, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Mar 2020 (5 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 27 Jul 2022 (3 years ago) |
| Document Number: | L20000080998 |
| FEI/EIN Number | 85-0489829 |
| Address: | 14601 SW 29 ST, MIRAMAR, FL, 33027, US |
| Mail Address: | 14601 SW 29 ST, MIRAMAR, FL, 33027, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558984971 | 2020-05-20 | 2020-09-30 | 14601 SW 29TH ST STE 107, MIRAMAR, FL, 330274715, US | 14601 SW 29TH ST STE 107, MIRAMAR, FL, 330274715, US | |||||||||||||
|
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| Phone | +1 786-804-9405 |
Authorized person
| Name | CARILYN/LENON HERNANDEZ/JUAN |
| Role | OWNERS |
| Phone | 7868049405 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAYES CARIDAD | Agent | 14601 SW 29 STREET, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| HAYES CARIDAD | Manager | 14601 SW 29 ST, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| FELIX MAYDELIN | President | 14601 SW 29 ST, MIRAMAR, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2025-01-13 | FELIX, MAYDELIN | No data |
| REGISTERED AGENT NAME CHANGED | 2022-07-27 | HAYES, CARIDAD | No data |
| LC STMNT OF RA/RO CHG | 2022-07-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-07-27 | 14601 SW 29 STREET, #107, MIRAMAR, FL 33027 | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-21 | 14601 SW 29 ST, SUITE 107, MIRAMAR, FL 33027 | No data |
| LC AMENDMENT | 2021-07-19 | No data | No data |
| LC DISSOCIATION MEM | 2021-05-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-19 | 14601 SW 29 ST, SUITE 107, MIRAMAR, FL 33027 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-13 |
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-01-23 |
| AMENDED ANNUAL REPORT | 2022-08-24 |
| CORLCRACHG | 2022-07-27 |
| ANNUAL REPORT | 2022-01-10 |
| AMENDED ANNUAL REPORT | 2021-11-03 |
| AMENDED ANNUAL REPORT | 2021-10-21 |
| LC Amendment | 2021-07-19 |
| CORLCDSMEM | 2021-05-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
