Entity Name: | SERENDIPITY HEALTH & WELLNESS LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 17 Feb 2021 (4 years ago) |
Document Number: | L21000081887 |
FEI/EIN Number | 86-2134002 |
Address: | 3900 Broadway, Suite A-14, FORT MYERS, FL, 33901, US |
Mail Address: | 3900 Broadway, Suite A-14, FORT MYERS, FL, 33901, US |
ZIP code: | 33901 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1700462942 | 2021-03-18 | 2024-01-28 | 3900 BROADWAY STE B8, FORT MYERS, FL, 339018193, US | 3900 BROADWAY STE A-14, FORT MYERS, FL, 339018193, US | |||||||||||||||
|
Phone | +1 941-777-4542 |
Fax | 2395796807 |
Authorized person
Name | MARISSA ROBERTS |
Role | OWNER/PROVIDER |
Phone | 9417774542 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ROBERTS MARISSA N | Agent | 2662 BLUE CYPRESS LAKE CT, CAPE CORAL, FL, 33909 |
Name | Role | Address |
---|---|---|
ROBERTS MARISSA N | Manager | 2662 BLUE CYPRESS LAKE CT, CAPE CORAL, 33909 |
Name | Role | Address |
---|---|---|
ROBERTS CHRISTOPHER T | Authorized Person | 2662 BLUE CYPRESS LAKE CT, CAPE CORAL, 33909 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-01-28 | 3900 Broadway, Suite A-14, FORT MYERS, FL 33901 | No data |
CHANGE OF MAILING ADDRESS | 2024-01-28 | 3900 Broadway, Suite A-14, FORT MYERS, FL 33901 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-28 |
ANNUAL REPORT | 2023-03-10 |
ANNUAL REPORT | 2022-03-24 |
Florida Limited Liability | 2021-02-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State