| Entity Name: | CASSIDY HEALTH AND WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Mar 2021 (4 years ago) |
| Document Number: | L21000105757 |
| FEI/EIN Number | 862610848 |
| Address: | 310 S MARION AVE, LAKE CITY, FL, 32025, US |
| Mail Address: | 310 S MARION AVE, LAKE CITY, FL, 32025, US |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184203721 | 2021-04-02 | 2023-07-17 | 263 SW PROFESSIONAL GLN, LAKE CITY, FL, 320251105, US | 310 S MARION AVE, LAKE CITY, FL, 320257064, US | |||||||||||||||||||
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| Phone | +1 386-438-5722 |
| Fax | 3864388631 |
Authorized person
| Name | TIMOTHY P CASSIDY JR. |
| Role | OWNER |
| Phone | 3864385722 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASSIDY TIMOTHY PJR | Agent | 13760 80TH PLACE, LIVE OAK, FL, 32060 |
| Name | Role | Address |
|---|---|---|
| CASSIDY TIMOTHY PJR | Manager | 13760 80TH PLACE, LIVE OAK, FL, 32060 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-24 | 310 S MARION AVE, LAKE CITY, FL 32025 | No data |
| CHANGE OF MAILING ADDRESS | 2023-07-24 | 310 S MARION AVE, LAKE CITY, FL 32025 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-18 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-06 |
| Florida Limited Liability | 2021-03-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
