| Entity Name: | DENALI HEALTH & WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Mar 2021 (4 years ago) |
| Document Number: | L21000112995 |
| FEI/EIN Number | 86-2754330 |
| Address: | 10380 SW Village Center Drive, PORT SAINT LUCIE, FL, 34987, US |
| Mail Address: | 185 SW BEDFORD ROAD, PORT SAINT LUCIE, FL, 34953 |
| ZIP code: | 34987 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972268886 | 2021-11-04 | 2021-11-04 | 10380 SW VILLAGE CENTER DR STE 223, PORT SAINT LUCIE, FL, 349871931, US | 185 SW BEDFORD RD, PORT SAINT LUCIE, FL, 349536937, US | |||||||||||||
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| Phone | +1 772-607-0127 |
Authorized person
| Name | MRS. MACRESIA A BRAZIEL |
| Role | OWNER/APRN |
| Phone | 7726070127 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRAZIEL MACRESIA A | Agent | 185 SW BEDFORD ROAD, PORT SAINT LUCIE, FL, 34953 |
| Name | Role | Address |
|---|---|---|
| BRAZIEL MACRESIA A | Manager | 185 SW BEDFORD ROAD, PORT SAINT LUCIE, FL, 34953 |
| Name | Role | Address |
|---|---|---|
| BRAZIEL BRIAN D | Authorized Representative | 185 SW BEDFORD ROAD, PORT SAINT LUCIE, FL, 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-15 | 10380 SW Village Center Drive, 223, PORT SAINT LUCIE, FL 34987 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-04-15 |
| Florida Limited Liability | 2021-03-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
