| Entity Name: | PERSONAL WELLNESS MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Jan 2021 (4 years ago) |
| Document Number: | L21000011808 |
| FEI/EIN Number | 86-1515828 |
| Mail Address: | 651 SE 41ST AVE, TRENTON, FL 32693 |
| Address: | 651 SE 41st Ave, Trenton, FL 32693 |
| ZIP code: | 32693 |
| County: | Gilchrist |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093306292 | 2021-01-30 | 2021-01-30 | 651 SE 41ST AVE, TRENTON, FL, 326935003, US | 3231 GULF GATE DR STE 102, SARASOTA, FL, 342312406, US | |||||||||||||||
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| Phone | +1 941-685-8914 |
| Fax | 9413499301 |
Authorized person
| Name | DAVID LEGGETT |
| Role | PRACTICE MANAGER |
| Phone | 9416858914 |
Taxonomy
| Taxonomy Code | 405300000X - Prevention Professional |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEGGETT, DAVID | Agent | 651 SE 41ST AVE, TRENTON, FL 32693 |
| 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 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-16 | 651 SE 41st Ave, Trenton, FL 32693 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-30 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-04-15 |
| Florida Limited Liability | 2021-01-04 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
