| Entity Name: | SUNSHINE FAMILY PSYCH & WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Mar 2022 (3 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 05 Oct 2022 (2 years ago) |
| Document Number: | L22000128829 |
| FEI/EIN Number | 88-1986670 |
| Address: | 7646 BROOKLINE ST, WESLEY CHAPEL, FL, 33544, US |
| Mail Address: | 7646 BROOKLINE ST, WESLEY CHAPEL, FL, 33544, US |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508689639 | 2024-11-06 | 2024-11-06 | 2927 PEARSON JAMES PL, LUTZ, FL, 335596996, US | 2927 PEARSON JAMES PL, LUTZ, FL, 335596996, US | |||||||||||||||
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| Phone | +1 813-991-4744 |
| Fax | 8139075067 |
Authorized person
| Name | ERICA EVANS |
| Role | AUTHORIZED AGENT |
| Phone | 4043702158 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HYMILLER KIMBERLY | Agent | 7646 BROOKLINE ST, WESLEY CHAPEL, FL, 33544 |
| Name | Role | Address |
|---|---|---|
| HYMILLER KIMBERLY MARNP | Manager | 7646 BROOKLINE ST., WESLEY CHAPEL, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-13 | 7646 BROOKLINE ST, WESLEY CHAPEL, FL 33544 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-13 | 7646 BROOKLINE ST, WESLEY CHAPEL, FL 33544 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-13 | HYMILLER, KIMBERLY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-13 | 7646 BROOKLINE ST, WESLEY CHAPEL, FL 33544 | No data |
| LC STMNT OF RA/RO CHG | 2022-10-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-13 |
| ANNUAL REPORT | 2023-04-08 |
| CORLCRACHG | 2022-10-05 |
| Florida Limited Liability | 2022-03-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
