| Entity Name: | SEADIPITY WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Oct 2021 (3 years ago) |
| Document Number: | L21000458867 |
| FEI/EIN Number | 87-3232609 |
| Address: | 22455 FLORA PARKE Crossing, FERNANDINA BEACH, FL, 32034, US |
| Mail Address: | 86132 MEADOWRIDGE COURT, YULEE, FL, 32097 |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336803642 | 2021-10-25 | 2022-07-18 | 22455 FLORA PARKE XING, FERNANDINA BEACH, FL, 320348000, US | 22455 FLORA PARKE XING, FERNANDINA BEACH, FL, 320348000, US | |||||||||||||||||||||||
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| Phone | +1 904-452-4790 |
| Fax | 8339072436 |
Authorized person
| Name | ANGELA O'DONNELL |
| Role | APRN |
| Phone | 9044524790 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LW0102X - Women's Health Nurse Practitioner |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SEADIPITY WELLNESS LLC 401(K) PLAN | 2023 | 873232609 | 2024-07-24 | SEADIPITY WELLNESS LLC | 2 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| ODONNELL ANGELA | Agent | 86132 MEADOWRIDGE COURT, YULEE, FL, 32097 |
| Name | Role | Address |
|---|---|---|
| ODONNELL ANGELA | Manager | 86132 MEADOWRIDGE COURT, YULEE, FL, 32097 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-02 | 22455 FLORA PARKE Crossing, FERNANDINA BEACH, FL 32034 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-02-02 |
| Florida Limited Liability | 2021-10-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
