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IN FULL BLOOM MIDWIFERY, LLC

Company Details

Entity Name: IN FULL BLOOM MIDWIFERY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Aug 2021 (3 years ago)
Document Number: L21000379867
FEI/EIN Number 87-2341030
Address: 2010 NE 14th st, OCALA, FL, 34470, US
Mail Address: 2010 NE 14th st, OCALA, FL, 34470, US
ZIP code: 34470
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558076042 2023-01-18 2023-01-18 2010 NE 14TH ST STE 300, OCALA, FL, 344707740, US 2010 NE 14TH ST STE 300, OCALA, FL, 344707740, US

Contacts

Phone +1 352-519-3969

Authorized person

Name CAROLYN AYALA
Role MIDWIFE
Phone 3525193969

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary Yes

Agent

Name Role Address
AYALA CAROLYN N Agent 15701 SW 47th Avenue Rd, OCALA, FL, 34473

Authorized Person

Name Role Address
AYALA CAROLYN N Authorized Person 15701 SW 47TH AVE RD, OCALA, FL, 34473
BAKER HANNAH M Authorized Person 8320 sw 134th Ave, Dunnellon, 34432

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-11 2010 NE 14th st, OCALA, FL 34470 No data
CHANGE OF MAILING ADDRESS 2024-03-11 2010 NE 14th st, OCALA, FL 34470 No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-11 15701 SW 47th Avenue Rd, OCALA, FL 34473 No data

Documents

Name Date
ANNUAL REPORT 2024-03-11
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-03-08
Florida Limited Liability 2021-08-24

Date of last update: 02 Feb 2025

Sources: Florida Department of State