| Entity Name: | SERENITY WELLNESS AND FAMILY PRACTICE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Mar 2022 (3 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 01 Nov 2023 (a year ago) |
| Document Number: | L22000138861 |
| FEI/EIN Number | 88-1290636 |
| Address: | 890 N BOUNDARY AVE, 101, DELAND, FL 32720 |
| Mail Address: | 890 N BOUNDARY AVE, 101, DELAND, FL 32720 |
| ZIP code: | 32720 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275313918 | 2023-10-02 | 2023-10-02 | 890 N BOUNDARY AVE STE 101, DELAND, FL, 327203173, US | 890 N BOUNDARY AVE STE 101, DELAND, FL, 327203173, US | |||||||||||||
|
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| Phone | +1 386-873-4560 |
Authorized person
| Name | MICHELLE RENE TUTT |
| Role | MANAGING OWNER |
| Phone | 3868734560 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TUTT, DAVID | Agent | 1327 SPRING GARDEN RANCH RD, DELEON SPRINGS, FL 32130 |
| Name | Role | Address |
|---|---|---|
| TUTT, MICHELLE | Authorized Member | 890 N BOUNDARY AVE, 101 DELAND, FL 32720 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000089893 | SERENITY WELLNESS AND FAMILY PRACTICE | ACTIVE | 2023-08-01 | 2028-12-31 | No data | 890 N BOUNDARY AVE, SUITE 101, DELAND, FL, 32720 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2023-11-01 | SERENITY WELLNESS AND FAMILY PRACTICE, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-07 | 890 N BOUNDARY AVE, 101, DELAND, FL 32720 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-07 | 890 N BOUNDARY AVE, 101, DELAND, FL 32720 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-02-12 |
| LC Amendment and Name Change | 2023-11-01 |
| ANNUAL REPORT | 2023-02-07 |
| Florida Limited Liability | 2022-03-21 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
