| Entity Name: | ST. CHARLES WELLNESS CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Nov 2021 (3 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 14 Feb 2022 (3 years ago) |
| Document Number: | L21000500160 |
| FEI/EIN Number | 88-1235729 |
| Address: | 311 NE 8th street Suite 109, Homestead, FL, 33030, US |
| Mail Address: | 27357 SW 121 CT, HOMESTEAD, FL, 33032, UN |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932848801 | 2022-05-31 | 2022-07-15 | 311 NE 8TH ST STE 109, HOMESTEAD, FL, 330304734, US | 311 NE 8TH ST STE 109, HOMESTEAD, FL, 330304734, US | |||||||||||||||||||||||
|
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| Phone | +1 305-363-5573 |
| Fax | 7866221893 |
Authorized person
| Name | ROSITA ATILUS |
| Role | PROVIDER |
| Phone | 7862592966 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ATILUS ROSITA | Agent | 27357 SW 121 CT, HOMESTEAD, FL, 33032 |
| Name | Role | Address |
|---|---|---|
| ATILUS ROSITA | Manager | 27357 SW 121 CT, HOMESTEAD, FL, 33032 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-13 | 311 NE 8th street Suite 109, Homestead, FL 33030 | No data |
| LC NAME CHANGE | 2022-02-14 | ST. CHARLES WELLNESS CENTER LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-03-24 |
| LC Name Change | 2022-02-14 |
| Florida Limited Liability | 2021-11-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
