| Entity Name: | RANDOLPH'S FAMILY HEALTH AND WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
RANDOLPH'S FAMILY HEALTH AND WELLNESS LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 27 Apr 2022 (3 years ago) |
| Document Number: | L22000200487 |
| FEI/EIN Number |
88-2369164
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3037 LAKELAND HILLS BLVD, LAKELAND, FL 33805 |
| Mail Address: | 12596 US HIGHWAY 98 N, LAKELAND, FL 33809 |
| ZIP code: | 33805 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164169371 | 2022-05-18 | 2024-04-22 | 12596 US HIGHWAY 98 N, LAKELAND, FL, 338091089, US | 3037 LAKELAND HILLS BLVD STE 7A, LAKELAND, FL, 338052225, US | |||||||||||||
|
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| Phone | +1 863-860-4500 |
Authorized person
| Name | AMANDA LUCILLE RANDOLPH |
| Role | NURSE PRACTITIONER |
| Phone | 8633330032 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RANDOLPH, AMANDA | Agent | 12596 US HIGHWAY 98 N, LAKELAND, FL 33809 |
| RANDOLPH, AMANDA | Authorized Member | 12596 US HIGHWAY 98 N, LAKELAND, FL 33809 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-02-10 |
| ANNUAL REPORT | 2023-04-14 |
| Florida Limited Liability | 2022-04-27 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
