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STORMY'S PRIMARY CARE AND WELLNESS MEDSPA LLC - Florida Company Profile

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Company Details

Entity Name: STORMY'S PRIMARY CARE AND WELLNESS MEDSPA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Jan 2022 (4 years ago)
Document Number: L22000040053
FEI/EIN Number 87-4820711
Address: 20200 W DIXIE HWY, 805B, MIAMI, FL, 33180, US
Mail Address: 400 LESLIE DRIVE, 1014, HALLANDALE BEACH, FL, 33009, UN
ZIP code: 33180
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MCBRIDE STORMY G Authorized Representative 400 LESLIE DRIVE, 1014, HALLANDALE BEACH, FL, 33009
MCBRIDE STORMY Agent 400 LESLIE DRIVE, HALLANDALE BEACH, FL, 33009

National Provider Identifier

NPI Number:
1639823040
Certification Date:
2025-01-30

Authorized Person:

Name:
STORMY GALE MCBRIDE
Role:
APRN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LG0600X - Gerontology Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
3059908832

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-26 20200 W DIXIE HWY, 805B, MIAMI, FL 33180 -

Documents

Name Date
ANNUAL REPORT 2025-02-09
ANNUAL REPORT 2024-02-26
ANNUAL REPORT 2023-02-17
Florida Limited Liability 2022-01-20

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Date of last update: 02 Aug 2025

Sources: Florida Department of State