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WELLSCARE SOLUTIONS, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
WELLINGTON, JUDY-ANN S Agent 4379 LAKE TAHOE CIRCLE, WEST PALM BEACH, FL 33409

Manager

Name Role Address
WELLINGTON, JUDY-ANN Manager 4379 LAKE TAHOE CIRCLE, WEST PALM BEACH, FL 33409

Authorized Member

Name Role Address
WELLINGTON, JUDY-ANN Authorized Member 4379 LAKE TAHOE CIRCLE, WEST PALM BEACH, FL 33409 UN

Fictitious Names

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

Events

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

Documents

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