| Entity Name: | SOUTHERN MAGNOLIA HEALTH AND WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Aug 2020 (4 years ago) |
| Document Number: | L20000271675 |
| FEI/EIN Number | 85-2945544 |
| Address: | 533 NORTH NOVA ROAD, 116, ORMOND BEACH, FL, 32174, US |
| Mail Address: | 533 NORTH NOVA ROAD, 116, ORMOND BEACH, FL, 32174, US |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871108274 | 2020-09-11 | 2020-09-11 | 490 N YONGE ST, ORMOND BEACH, FL, 321745252, US | 533 N NOVA RD STE 209, ORMOND BEACH, FL, 321744422, US | |||||||||||||
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| Phone | +1 407-590-0377 |
Authorized person
| Name | HOPE A KING |
| Role | OWNER/APRN |
| Phone | 4075900377 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KING HOPE A | Agent | 1508 state avenue, Holly hill, FL, 32117 |
| Name | Role | Address |
|---|---|---|
| KING CARL J | Manager | 1508 state ave, Holly hill, FL, 32117 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-16 | 1508 state avenue, Holly hill, FL 32117 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-28 | 533 NORTH NOVA ROAD, 116, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-28 | 533 NORTH NOVA ROAD, 116, ORMOND BEACH, FL 32174 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-02-03 |
| Florida Limited Liability | 2020-08-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
