| Entity Name: | THE WELLNESS AND HYDRATION CLINIC, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Nov 2020 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 09 Feb 2021 (4 years ago) |
| Document Number: | L20000370798 |
| FEI/EIN Number | 85-4173105 |
| Address: | 580 LEXINGTON GREEN LANE, SANFORD, FL, 32771, US |
| Mail Address: | 580 LEXINGTON GREEN LANE, SANFORD, FL, 32771, US |
| ZIP code: | 32771 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831789015 | 2021-01-21 | 2021-01-29 | 580 LEXINGTON GREEN LN, SANFORD, FL, 327711026, US | 580 LEXINGTON GREEN LN, SANFORD, FL, 327711026, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 931-510-7783 |
Authorized person
| Name | BIANCA BURNETT |
| Role | NURSE P. |
| Phone | 9315107783 |
Taxonomy
| Taxonomy Code | 261QF0050X - Non-Surgical Family Planning Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| J CARROLL BIANCA | Agent | 929 ABBY TERRACE, DELTONA, FL, 32725 |
| Name | Role | Address |
|---|---|---|
| CARROLL BIANCA J | Authorized Member | 929 ABBY TERRACE, DELTONA, FL, 32725 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000138253 | NEWGEN DIRECT PRIMARY CARE | ACTIVE | 2024-11-12 | 2029-12-31 | No data | 580 LEXINGTON GREEN LANE, SANFORD, FL, 32771 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-23 | J CARROLL, BIANCA | No data |
| LC AMENDMENT | 2021-02-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-09 | 580 LEXINGTON GREEN LANE, SANFORD, FL 32771 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-09 | 580 LEXINGTON GREEN LANE, SANFORD, FL 32771 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-23 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-04-06 |
| LC Amendment | 2021-02-09 |
| Florida Limited Liability | 2020-11-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
