| Entity Name: | ST LUCIE WELLNESS AND REHAB,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Jan 2021 (4 years ago) |
| Document Number: | L21000033164 |
| FEI/EIN Number | 86-1944126 |
| Address: | 6981 HANCOCK DR, PORT ST LUCIE, FL, 34952 |
| Mail Address: | 6981 HANCOCK DR, PORT ST LUCIE, FL, 34952 |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083322275 | 2022-11-07 | 2022-11-07 | 6981 HANCOCK DR, PORT SAINT LUCIE, FL, 349528207, US | 6981 HANCOCK DR, PORT SAINT LUCIE, FL, 349528207, US | |||||||||||||
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| Phone | +1 772-777-4869 |
Authorized person
| Name | DECOSTE CHRISTOPHER JEUDY |
| Role | MANAGER |
| Phone | 5614604517 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COLES MAXIME | Agent | 18868 CANDLEWICK DR, BOCA RATON, FL, 33496 |
| Name | Role | Address |
|---|---|---|
| COLES MAXIME | Manager | 18868 CANDALEWICK DR, BOCA RATON, FL, 33496 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-20 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-02-06 |
| Florida Limited Liability | 2021-01-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
