| Entity Name: | 365 WELLNESS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Mar 2021 (4 years ago) |
| Document Number: | L21000148166 |
| FEI/EIN Number | 86-2702452 |
| Address: | 7611 SANTEE TER, LAKE WORTH, FL, 33467, US |
| Mail Address: | 7611 SANTEE TER, LAKE WORTH, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013598358 | 2021-04-19 | 2021-05-04 | 7611 SANTEE TER, LAKE WORTH, FL, 334677866, US | 7611 SANTEE TER, LAKE WORTH, FL, 334677866, US | |||||||||||||
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| Phone | +1 561-770-8072 |
Authorized person
| Name | ROSHINI SINGH |
| Role | FAMILY NURSE PRACTITIONER |
| Phone | 9544390633 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SINGH ROSHINI | Agent | 7611 SANTEE TER, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| SINGH ROSHINI | Authorized Member | 7611 SANTEE TER, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| Persaud Prataap | Treasurer | 7611 SANTEE TER, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| Singh Amit | Manager | 7611 SANTEE TER, LAKE WORTH, FL, 33467 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-02-01 |
| Florida Limited Liability | 2021-03-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
