| Entity Name: | ALIVE & WELL HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jun 2021 (4 years ago) |
| Document Number: | L21000284528 |
| FEI/EIN Number | 87-1306499 |
| Mail Address: | 24744 LEONARD WAY, EUSTIS, FL, 32736 |
| Address: | 324 W Ardice Ave, EUSTIS, FL, 32726, US |
| ZIP code: | 32726 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033976634 | 2024-03-01 | 2024-10-01 | 2200 S BAY ST STE A, EUSTIS, FL, 327266334, US | 2200 S BAY ST STE A, EUSTIS, FL, 327266334, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 407-433-0993 |
Authorized person
| Name | AISHA M ACEVEDO SANCHEZ |
| Role | OWNER |
| Phone | 4074330993 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ACEVEDO AISHA | Agent | 24744 LEONARD WAY, EUSTIS, FL, 32736 |
| Name | Role | Address |
|---|---|---|
| ACEVEDO AISHA | Authorized Member | 24744 LEONARD WAY, EUSTIS, FL, 32736 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-25 | 324 W Ardice Ave, EUSTIS, FL 32726 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-05-25 |
| Florida Limited Liability | 2021-06-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
