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BELFIORE WELLNESS CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: BELFIORE WELLNESS CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Sep 2020 (5 years ago)
Document Number: L20000287440
FEI/EIN Number 85-3113645
Address: 502 E. Hickory Ave, CRESTVIEW, FL, 32439, US
Mail Address: 502 E. HICKORY AVE, CRESTVIEW, FL, 32436, US
ZIP code: 32439
City: Freeport
County: Walton
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MOORE CHRISTINE C Authorized Member 5639 PARK PLACE, CRESTVIEW, FL, 32539
SMITH KRISTINA D Authorized Member 181 Fairway Xing, FREEPORT, FL, 32439
Smith Kristina Agent 502 E. Hickory Ave, CRESTVIEW, FL, 32439

U.S. Small Business Administration Profile

Phone Number:
Contact Person:
KRISTINA SMITH
User ID:
P3146105

Unique Entity ID

Unique Entity ID:
M5Y8WWCR24K7
CAGE Code:
9L3C0
UEI Expiration Date:
2026-02-25

Business Information

Division Name:
BELFIORE WELLNESS CENTER LLC
Activation Date:
2025-02-27
Initial Registration Date:
2023-05-30

Commercial and government entity program

CAGE number:
9L3C0
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-02-27
CAGE Expiration:
2030-02-27
SAM Expiration:
2026-02-25

Contact Information

POC:
KRISTINA SMITH

National Provider Identifier

NPI Number:
1144836446
Certification Date:
2020-12-07

Authorized Person:

Name:
KRISTINA SMITH
Role:
MBR
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8506830599

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-03-01 Smith, Kristina -
REGISTERED AGENT ADDRESS CHANGED 2022-03-01 502 E. Hickory Ave, CRESTVIEW, FL 32439 -
CHANGE OF PRINCIPAL ADDRESS 2020-11-13 502 E. Hickory Ave, CRESTVIEW, FL 32439 -
CHANGE OF MAILING ADDRESS 2020-11-13 502 E. Hickory Ave, CRESTVIEW, FL 32439 -

Documents

Name Date
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-03-01
ANNUAL REPORT 2021-03-25
Florida Limited Liability 2020-09-14

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Date of last update: 01 Aug 2025

Sources: Florida Department of State