| Entity Name: | ZALTANA WELLNESS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 May 2022 (3 years ago) |
| Document Number: | L22000233673 |
| FEI/EIN Number | 88-2659969 |
| Address: | 660 Benoi Drive, Davenport, FL, 33896, US |
| Mail Address: | 660 Benoi Drive, Davenport, FL, 33896, US |
| ZIP code: | 33896 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184339517 | 2023-01-19 | 2023-01-19 | 660 BENOI DR, DAVENPORT, FL, 338965656, US | 660 BENOI DR, DAVENPORT, FL, 338965656, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 513-568-9097 |
| Phone | +1 888-431-8692 |
| Fax | 8889940390 |
Authorized person
| Name | LISA VALERIE WRIGHT |
| Role | OWNER |
| Phone | 8884318692 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DUNCAN LORI | Agent | 914 DELANEY CIRCLE, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| WRIGHT LISA | Manager | 660 Benoi Drive, Davenport, FL, 33896 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000014804 | ZALTANA FOR MEN | ACTIVE | 2024-01-25 | 2029-12-31 | No data | 660 BENOI DRIVE, DAVENPORT, FL, 33896 |
| G22000102074 | ZALTANA EXPRESS | ACTIVE | 2022-08-30 | 2027-12-31 | No data | 924 N MAGNOLIA AVE, SUITE 202, ORLANDO, FL, 32803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-19 | 660 Benoi Drive, Davenport, FL 33896 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-19 | 660 Benoi Drive, Davenport, FL 33896 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-01-19 |
| Florida Limited Liability | 2022-05-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
