| Entity Name: | FLAGLER HEALTH AND WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Jan 2022 (3 years ago) |
| Document Number: | L22000046833 |
| FEI/EIN Number | 87-4570177 |
| Address: | 1803 S AUSTRALIAN AVENUE, WEST PALM BEACH, FL 33409 |
| Mail Address: | 980 N Federal Hwy, 310, Boca Raton, FL 33432 |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164176913 | 2022-02-10 | 2022-02-10 | 2636 OLD OKEECHOBEE RD, WEST PALM BEACH, FL, 334094129, US | 1803 S AUSTRALIAN AVE, WEST PALM BEACH, FL, 334096454, US | |||||||||||||||||
|
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| Phone | +1 855-740-1181 |
Authorized person
| Name | MR. BRANDAN FREEMAN |
| Role | CEO |
| Phone | 8557401181 |
Taxonomy
| Taxonomy Code | 323P00000X - Psychiatric Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MAGNIFIED HEALTH SYSTEMS LLC | Agent |
| Name | Role | Address |
|---|---|---|
| DUDASH, JOHN | Authorized Person | 2636 OLD OKEECHOBEE RD, WEST PALM BEACH, FL 33460 |
| Name | Role |
|---|---|
| MAGNIFIED HEALTH SYSTEMS LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-28 | 1803 S AUSTRALIAN AVENUE, WEST PALM BEACH, FL 33409 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-28 | 980 N Federal Hwy, 310, WEST PALM BEACH, FL 33409 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-04-28 |
| Florida Limited Liability | 2022-01-26 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
