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WOMEN'S HEALTH 360, LLC

Company Details

Entity Name: WOMEN'S HEALTH 360, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Apr 2022 (3 years ago)
Document Number: L22000192361
FEI/EIN Number 881917355
Address: 10727 Narcoossee Rd B6, ORLANDO, FL, 32832, US
Mail Address: 10727 Narcoossee Rd B6, ORLANDO, FL, 32832, US
ZIP code: 32832
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336870484 2022-06-20 2022-06-20 7975 NEMOURS PKWY, ORLANDO, FL, 328277687, US 6009 S ORANGE AVE UNIT 6017, ORLANDO, FL, 328094237, US

Contacts

Phone +1 407-271-2796
Phone +1 407-986-3553
Fax 4078091473

Authorized person

Name MRS. KELLIE ANDREA WILLIAMS
Role OWNER/NURSE PRACTITIONER
Phone 4079863553

Taxonomy

Taxonomy Code 363LX0001X - Obstetrics & Gynecology Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
FULLER MAMIE Agent 10727 Narcoossee Rd B6, ORLANDO, FL, 32832

Manager

Name Role Address
Williams Kellie A Manager 10727 Narcoossee Rd B6, ORLANDO, FL, 32832
Williams British D Manager 10727 Narcoossee Rd B6, ORLANDO, FL, 32832

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-14 10727 Narcoossee Rd B6, ORLANDO, FL 32832 No data
CHANGE OF MAILING ADDRESS 2024-02-14 10727 Narcoossee Rd B6, ORLANDO, FL 32832 No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-14 10727 Narcoossee Rd B6, ORLANDO, FL 32832 No data

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-01-31
Florida Limited Liability 2022-04-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State