Entity Name: | WELLSCARE SOLUTIONS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 23 Mar 2020 (5 years ago) |
Document Number: | L20000088117 |
FEI/EIN Number | 85-0499156 |
Mail Address: | 4379 LAKE TAHOE CIRCLE, WEST PALM BEACH, FL 33409 |
Address: | 2790 North Military Trl, Suite #8, WEST PALM BEACH, FL 33409 |
ZIP code: | 33409 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1477127090 | 2021-05-18 | 2021-05-18 | 4379 LAKE TAHOE CIR, WEST PALM BEACH, FL, 334097872, US | 4379 LAKE TAHOE CIR, WEST PALM BEACH, FL, 334097872, US | |||||||||||||||
|
Phone | +1 561-254-9769 |
Fax | 7072400168 |
Authorized person
Name | JUDY-ANN S WELLINGTON |
Role | NURSE PRACTITIONER |
Phone | 5612549769 |
Taxonomy
Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
WELLINGTON, JUDY-ANN S | Agent | 4379 LAKE TAHOE CIRCLE, WEST PALM BEACH, FL 33409 |
Name | Role | Address |
---|---|---|
WELLINGTON, JUDY-ANN | Manager | 4379 LAKE TAHOE CIRCLE, WEST PALM BEACH, FL 33409 |
Name | Role | Address |
---|---|---|
WELLINGTON, JUDY-ANN | Authorized Member | 4379 LAKE TAHOE CIRCLE, WEST PALM BEACH, FL 33409 UN |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G23000026266 | EVOLVE TOTAL HEALTH | ACTIVE | 2023-02-24 | 2028-12-31 | No data | 4379 LAKE TAHOE CIRCLE, WEST PALM BEACH, FL, 33409 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2021-12-01 | 2790 North Military Trl, Suite #8, WEST PALM BEACH, FL 33409 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-01 |
ANNUAL REPORT | 2023-03-11 |
AMENDED ANNUAL REPORT | 2022-06-30 |
ANNUAL REPORT | 2022-03-24 |
ANNUAL REPORT | 2021-04-09 |
Florida Limited Liability | 2020-03-23 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State