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PALM BEACH WELLNESS ASSOCIATES, LLC

Company Details

Entity Name: PALM BEACH WELLNESS ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 May 2021 (4 years ago)
Document Number: L21000210686
FEI/EIN Number 86-3906077
Mail Address: 2925 10TH AVENUE N, PALM SPRINGS, FL, 33461, US
Address: 509 Federal Highway, Lake Park, FL, 33403, US
ZIP code: 33403
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699349159 2021-05-18 2021-05-18 2925 10TH AVE N, PALM SPRINGS, FL, 334613000, US 2925 10TH AVE N, PALM SPRINGS, FL, 334613000, US

Contacts

Phone +1 561-635-2400

Authorized person

Name KIRILL VESSELOV
Role MANAGER
Phone 5616352400

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role
UNITED CENTRAL SERVICE COMPANY, INC. Agent

Manager

Name Role
HAVEN HEALTH MANAGEMENT, LLC Manager

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-10-01 509 Federal Highway, Lake Park, FL 33403 No data
CHANGE OF MAILING ADDRESS 2024-10-01 509 Federal Highway, Lake Park, FL 33403 No data
CHANGE OF PRINCIPAL ADDRESS 2022-02-28 509 Federal Highway, Lake Park, FL 33403 No data

Documents

Name Date
ANNUAL REPORT 2024-02-26
ANNUAL REPORT 2023-02-21
AMENDED ANNUAL REPORT 2022-02-28
ANNUAL REPORT 2022-01-20
Florida Limited Liability 2021-05-05

Date of last update: 02 Feb 2025

Sources: Florida Department of State