| Entity Name: | WELL WOMAN, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Aug 2021 (3 years ago) |
| Document Number: | L21000372113 |
| FEI/EIN Number | 87-4209575 |
| Address: | 2118 Staff Dr, Cantonment, FL, 32533, US |
| Mail Address: | 2118 Staff Dr, Cantonment, FL, 32533, US |
| ZIP code: | 32533 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225802192 | 2023-11-13 | 2023-11-13 | 2118 STAFF DR, CANTONMENT, FL, 325337742, US | 24 N TARRAGONA ST STE 5, PENSACOLA, FL, 325026063, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 404-510-3476 |
Authorized person
| Name | SONJA L ALLEN |
| Role | CEO/WHNP-BC |
| Phone | 4045103476 |
Taxonomy
| Taxonomy Code | 363LW0102X - Women's Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALLEN Dr. SONJA LWHNP-BC | Agent | 2118 Staff Dr, Cantonment, FL, 32533 |
| Name | Role | Address |
|---|---|---|
| ALLEN JAYLEN J | Authorized Person | 2118 Staff Dr, Cantonment, FL, 32533 |
| Name | Role | Address |
|---|---|---|
| ALLEN SAMARI E | Auth | 2118 Staff Dr, Cantonment, FL, 32533 |
| ALLEN DYLAN EARL T | Auth | 2118 Staff Dr, Cantonment, FL, 32533 |
| Billups Taylor A | Auth | 1405 Dartmoor LN SE, Conyers, GA, 30013 |
| Name | Role | Address |
|---|---|---|
| Allen Dr. Sonja LWHNP-BC | Chief Executive Officer | 2118 Staff Dr, Cantonment, FL, 32533 |
| Name | Role | Address |
|---|---|---|
| McDonald Koren J | Chief Operating Officer | 1138 Village Trail, Stone Mountain, GA, 30088 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-22 | 2118 Staff Dr, Cantonment, FL 32533 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-05 | 2118 Staff Dr, Cantonment, FL 32533 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-05 | 2118 Staff Dr, Cantonment, FL 32533 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-26 | ALLEN, Dr. SONJA L, WHNP-BC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-03-31 |
| Florida Limited Liability | 2021-08-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
