| Entity Name: | RENOVATION INTEGRATIVE HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Sep 2021 (3 years ago) |
| Document Number: | L21000429173 |
| FEI/EIN Number | 87-2919382 |
| Address: | 4602 COUNTY RD 673, #7240, BUSHNELL, FL, 33513, US |
| Mail Address: | 172 RAINBOW DR #7240, #7240, LIVINGSTON, TX, 77399, UN |
| ZIP code: | 33513 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194478248 | 2022-01-29 | 2022-01-29 | 172 RAINBOW DR # 7240, LIVINGSTON, TX, 773991072, US | 4602 CR 673 # 7240, BUSHNELL, FL, 335138358, US | |||||||||||||
|
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| Phone | +1 321-297-6775 |
Authorized person
| Name | MRS. BRANDY K BIGLOW |
| Role | OWNER |
| Phone | 3212976775 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BIGLOW BRANDY K | Agent | 4602 COUNTY RD 673, BUSHNELL, FL, 33513 |
| Name | Role | Address |
|---|---|---|
| BIGLOW BRANDY K | Authorized Member | 4602 COUNTY RD 673, #7240, BUSHNELL, FL, 33513 |
| VAZQUEZ KATHELENE I | Authorized Member | 4602 COUNTY RD 673, #7240, BUSHNELL, FL, 33513 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-04-26 |
| Florida Limited Liability | 2021-09-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
