| Entity Name: | ABOVE AND BEYOND HEALTH AND WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jan 2022 (3 years ago) |
| Document Number: | L22000032155 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 1111 NE 25TH AVE, SUITE 104, OCALA, FL, 34470 |
| Mail Address: | 5201 SW 90TH LANE, OCALA, FL, 34476 |
| ZIP code: | 34470 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760136287 | 2022-02-04 | 2022-12-28 | 5201 SW 90TH LN, OCALA, FL, 344769576, US | 1111 NE 25TH AVE STE 104, OCALA, FL, 344705665, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 352-209-4366 |
Authorized person
| Name | AMINA RAMAANU-PORTER |
| Role | AO |
| Phone | 3522094366 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | LICENSE NUMBER |
| Number | APRN9186000 |
| State | FL |
| Issuer | MEDICAID |
| Number | 114476000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAMAANU-PORTER AMINA | Agent | 15576 SW 46 CIR, OCALA, FL, 34473 |
| Name | Role | Address |
|---|---|---|
| RAMAANU-PORTER AMINA | Manager | 15576 SW 46 CIR, OCALA, FL, 34473 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-20 |
| Florida Limited Liability | 2022-01-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
