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PERSONAL WELLNESS MEDICINE, LLC - Florida Company Profile

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Company Details

Entity Name: PERSONAL WELLNESS MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Jan 2021 (5 years ago)
Document Number: L21000011808
FEI/EIN Number 86-1515828
Mail Address: 651 SE 41ST AVE, TRENTON, FL, 32693, US
Address: 651 SE 41st Ave, Trenton, FL, 32693, US
ZIP code: 32693
City: Trenton
County: Gilchrist
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LEGGETT DAVID Authorized Member 651 SE 41ST AVE, TRENTON, FL, 32693
LEGGETT KAREN Authorized Member 651 SE 41ST AVE, TRENTON, FL, 32693
LEGGETT DAVID Agent 651 SE 41ST AVE, TRENTON, FL, 32693

National Provider Identifier

NPI Number:
1093306292
Certification Date:
2021-01-30

Authorized Person:

Name:
DAVID LEGGETT
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
405300000X - Prevention Professional
Is Primary:
Yes

Contacts:

Fax:
9413499301

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-16 651 SE 41st Ave, Trenton, FL 32693 -

Documents

Name Date
ANNUAL REPORT 2024-03-30
ANNUAL REPORT 2023-02-16
ANNUAL REPORT 2022-04-15
Florida Limited Liability 2021-01-04

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Date of last update: 03 Jul 2025

Sources: Florida Department of State