| Entity Name: | WELLSPRING HEALTH - NEW SMYRNA BEACH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 May 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 03 Apr 2024 (10 months ago) |
| Document Number: | L22000233467 |
| FEI/EIN Number | 88-2443185 |
| Address: | 2415 S VOLUSIA AVE, SUITE A-2, ORANGE CITY, FL, 32763, US |
| Mail Address: | 2415 S VOLUSIA AVE, SUITE A-2, ORANGE CITY, FL, 32763, US |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831828904 | 2022-06-06 | 2022-06-06 | 2415 S VOLUSIA AVE STE A2, ORANGE CITY, FL, 327637623, US | 510 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 386-775-6879 |
| Fax | 3867750307 |
Authorized person
| Name | DR. LEONARD ALAN ROLLMAN |
| Role | CLINIC DIRECTOR |
| Phone | 4074502330 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| MEDICOLEGAL CONSULTING, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| ROLLMAN LEONARD A | Manager | 2415 S VOLUSIA AVE, SUITE A-2, ORANGE CITY, FL, 32763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-04-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-03 | 2415 S VOLUSIA AVE, SUITE A-2, ORANGE CITY, FL 32763 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-03 | 2415 S VOLUSIA AVE, SUITE A-2, ORANGE CITY, FL 32763 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-03 | MEDICOLEGAL CONSULTING, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-03 | 2415 S VOLUSIA AVE, SUITE A-2, ORANGE CITY, FL 32763 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| LC Amendment | 2024-04-03 |
| ANNUAL REPORT | 2023-04-30 |
| Florida Limited Liability | 2022-05-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
