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THE OLIVE TREE MATERNAL WELLNESS CENTER, PLLC

Company Details

Entity Name: THE OLIVE TREE MATERNAL WELLNESS CENTER, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Mar 2022 (3 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 08 Nov 2023 (a year ago)
Document Number: L22000144201
FEI/EIN Number NOT APPLICABLE
Address: 2465 USHWY 1 S, UNIT 3002, SAINT AUGUSTINE, FL, 32086, US
Mail Address: 2465 USHWY 1 S, UNIT 3002, SAINT AUGUSTINE, FL, 32086, US
ZIP code: 32086
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659000313 2022-06-08 2022-06-08 2465 US HIGHWAY 1 S, ST AUGUSTINE, FL, 320866076, US 2465 US HIGHWAY 1 S, ST AUGUSTINE, FL, 320866076, US

Contacts

Phone +1 770-896-2659

Authorized person

Name NICOLE MATEO
Role OWNER
Phone 7708962659

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
MATEO NICOLE Agent 2465 USHWY 1 S, SAINT AUGUSTINE, FL, 32086

Manager

Name Role Address
MATEO NICOLE Manager 2465 USHWY 1 S, UNIT 3002, SAINT AUGUSTINE, FL, 32086

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-11-08 No data No data
REGISTERED AGENT NAME CHANGED 2023-11-08 MATEO, NICOLE No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-26
REINSTATEMENT 2023-11-08
Florida Limited Liability 2022-03-24

Date of last update: 01 Feb 2025

Sources: Florida Department of State