| Entity Name: | AMAVIE WELLNESS CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Apr 2020 (5 years ago) |
| Document Number: | L20000106835 |
| FEI/EIN Number | 85-0795561 |
| Address: | 1492 NW 153RD AVE, PEMBROKE PINES, FL, 33028, US |
| Mail Address: | 1492 NW 153rd Ave, Pembroke Pines, FL, 33028, US |
| ZIP code: | 33028 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629698121 | 2020-04-24 | 2021-02-02 | 1492 NW 153RD AVE, PEMBROKE PINES, FL, 330282453, US | 1492 NW 153RD AVE, PEMBROKE PINES, FL, 330282453, US | |||||||||||||||||
|
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| Phone | +1 786-285-9682 |
Authorized person
| Name | NAHOMIE MIRVILLE |
| Role | OWNER |
| Phone | 7862859682 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MIRVILLE NAHOMIE | Agent | 1492 NW 153rd Ave, Pembroke Pines, FL, 33028 |
| Name | Role | Address |
|---|---|---|
| Mirville Nahomie | Manager | 1492 NW 153rd Ave, Pembroke Pines, FL, 33028 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-03-19 | 1492 NW 153RD AVE, PEMBROKE PINES, FL 33028 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-19 | 1492 NW 153rd Ave, Pembroke Pines, FL 33028 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-12-04 | 1492 NW 153RD AVE, PEMBROKE PINES, FL 33028 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-03-19 |
| Florida Limited Liability | 2020-04-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
