| Entity Name: | FLORIDA WELLNESS AND REGENERATIVE MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Feb 2021 (4 years ago) |
| Document Number: | L21000090260 |
| FEI/EIN Number | 862298131 |
| Address: | 7345 W SAND LAKE RD., ORLANDO, FL, 32819, US |
| Mail Address: | 7345 W SAND LAKE RD., ORLANDO, FL, 32819, US |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174289946 | 2021-11-16 | 2022-03-30 | 7345 W SAND LAKE RD STE 301, ORLANDO, FL, 328195281, US | 7345 W SAND LAKE RD STE 301, ORLANDO, FL, 328195281, US | |||||||||||||||
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| Phone | +1 321-204-8237 |
| Fax | 8339572257 |
Authorized person
| Name | DIANA HUSSAIN |
| Role | PRESIDENT/OWNER |
| Phone | 3212048237 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Yaw Shondell | Agent | 7345 W Sand Lake Rd, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| HUSSAIN DIANA | Chief Executive Officer | 7345 W SAND LAKE RD., ORLANDO, FL, 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-14 | 7345 W SAND LAKE RD., ste 301, ORLANDO, FL 32819 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-14 | 7345 W SAND LAKE RD., ste 301, ORLANDO, FL 32819 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-14 | Yaw, Shondell | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-14 | 7345 W Sand Lake Rd, Ste 301, ORLANDO, FL 32819 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-12 |
| ANNUAL REPORT | 2024-01-14 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-01-10 |
| Florida Limited Liability | 2021-02-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
