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FAJARDO WELLNESS CENTER LLC

Company Details

Entity Name: FAJARDO WELLNESS CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 28 May 2021 (4 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 17 Jul 2024 (6 months ago)
Document Number: L21000249835
FEI/EIN Number 87-1003083
Address: 7235 CORAL WAY STE 202, MIAMI, FL 33155
Mail Address: 7235 CORAL WAY STE 202, MIAMI, FL 33155
ZIP code: 33155
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922725332 2022-10-26 2024-04-24 7235 CORAL WAY STE 202, MIAMI, FL, 331551451, US 7235 CORAL WAY STE 202, MIAMI, FL, 331551451, US

Contacts

Phone +1 786-432-9108
Fax 7864329109

Authorized person

Name SUSANA LLANES PORTO
Role OWNER
Phone 7869709177

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Agent

Name Role Address
ZABALA, MAGDALENA Agent 7235 CORAL WAY SUITE 202, MIAMI, FL 33155

Authorized Member

Name Role Address
ZABALA, MAGDALENA Authorized Member 7235 SW 24 ST, SUITE 202 MIAMI, FL 33155

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000038224 EASTER HEALTHCARE ACTIVE 2024-03-15 2029-12-31 No data 7235 CORAL WAY SUITE 202, MIAMI, FL, 33155

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-07-17 No data No data
CHANGE OF MAILING ADDRESS 2024-07-17 7235 CORAL WAY STE 202, MIAMI, FL 33155 No data
CHANGE OF PRINCIPAL ADDRESS 2024-07-17 7235 CORAL WAY STE 202, MIAMI, FL 33155 No data
REGISTERED AGENT NAME CHANGED 2024-07-11 ZABALA, MAGDALENA No data
LC AMENDMENT 2024-07-11 No data No data
LC AMENDMENT 2024-07-08 No data No data
LC AMENDMENT 2024-06-27 No data No data
LC AMENDMENT 2024-06-25 No data No data
LC AMENDMENT 2024-06-21 No data No data
LC AMENDMENT 2024-04-12 No data No data

Documents

Name Date
LC Amendment 2024-07-17
LC Amendment 2024-07-11
LC Amendment 2024-07-08
LC Amendment 2024-06-27
LC Amendment 2024-06-25
LC Amendment 2024-06-21
LC Amendment 2024-04-12
LC Amendment 2024-03-12
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-01-25

Date of last update: 14 Jan 2025

Sources: Florida Department of State