| Entity Name: | CASILLAS MEDICAL AND WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 May 2022 (3 years ago) |
| Document Number: | L22000229889 |
| FEI/EIN Number | 88-2335195 |
| Address: | 501 S Goldenrod Rd, Orlando, FL, 32822, US |
| Mail Address: | 501 S Goldenrod Rd, Orlando, FL, 32822, US |
| ZIP code: | 32822 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437875929 | 2022-10-17 | 2022-10-17 | 1706 E SEMORAN BLVD STE 118, APOPKA, FL, 327035600, US | 1706 E SEMORAN BLVD STE 118, APOPKA, FL, 327035600, US | |||||||||||||||
|
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| Phone | +1 407-765-6982 |
| Fax | 4076046336 |
Authorized person
| Name | ARIEL CASILLAS |
| Role | OWNER |
| Phone | 4077656982 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASILLAS ARIEL JR | Agent | 1706 EAST SEMORAN BLVD, APOPKA, FL, 32703 |
| Name | Role | Address |
|---|---|---|
| CASILLAS ARIEL JR | Manager | 501 S GOLDENROD RD, ORLANDO, FL, 32822 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ JAVIER A | Member | 1706 EAST SEMORAN BLVD, 118, APOPKA, FL, 32703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-04 | 501 S Goldenrod Rd, Orlando, FL 32822 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-04 | 501 S Goldenrod Rd, Orlando, FL 32822 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-20 |
| Florida Limited Liability | 2022-05-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
