Search icon

WELLNESS MEDICAL GROUP, LLC

Company Details

Entity Name: WELLNESS MEDICAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 15 Apr 2021 (4 years ago)
Document Number: L21000175279
FEI/EIN Number 86-3524309
Address: 2500 Nw 79th Ave, Suite 233, Doral, FL 33122
Mail Address: 2500 Nw 79th Ave, Suite 233, Doral, FL 33122
ZIP code: 33122
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912615527 2022-11-11 2024-07-16 9600 NW 25TH ST STE 6A, DORAL, FL, 331721416, US 2500 NW 79TH AVE STE 233, DORAL, FL, 331221086, US

Contacts

Phone +1 786-209-0022

Authorized person

Name ANABEL DIAZ
Role OWNER
Phone 3057465424

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
HERNANDEZ, DAYNELY Agent 2700 SW 90th AVE, MIAMI, FL 33165

Member

Name Role Address
HERNANDEZ, DAYNELY Member 2700 SW 90th AVE, MIAMI, FL 33165
Diaz, Anabel Member 2700 SW 90th AVE, MIAMI, FL 33165

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-12 2500 Nw 79th Ave, Suite 233, Doral, FL 33122 No data
CHANGE OF MAILING ADDRESS 2024-04-12 2500 Nw 79th Ave, Suite 233, Doral, FL 33122 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-12 2700 SW 90th AVE, MIAMI, FL 33165 No data

Documents

Name Date
ANNUAL REPORT 2024-04-12
ANNUAL REPORT 2023-03-28
ANNUAL REPORT 2022-04-18
Florida Limited Liability 2021-04-15

Date of last update: 13 Feb 2025

Sources: Florida Department of State