| Entity Name: | PAPILLON HEALTH AND WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Jun 2022 (3 years ago) |
| Document Number: | L22000291505 |
| FEI/EIN Number | 88-2061129 |
| Address: | 1729 NW St. Lucie West Blvd #1276, PORT ST. LUCIE, FL 34986 |
| Mail Address: | 1729 NW St. Lucie West Blvd #1276, PORT ST. LUCIE, FL 34986 |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639892854 | 2022-09-22 | 2022-09-22 | 643 SW GRANADEER ST, PORT SAINT LUCIE, FL, 349838772, US | 643 SW GRANADEER ST, PORT SAINT LUCIE, FL, 349838772, US | |||||||||||||
|
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| Phone | +1 561-412-9281 |
Authorized person
| Name | BONNIE RUSSO |
| Role | OWNER/PROVIDER |
| Phone | 5614129281 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RUSSO, BONNIE J | Agent | 1729 NW St. Lucie West Blvd #1276, PORT ST. LUCIE, FL 34986 |
| Name | Role | Address |
|---|---|---|
| RUSSO, BONNIE J | Managing Member | 1729 NW St. Lucie West Blvd #1276, PORT ST. LUCIE, FL 34986 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-29 | 1729 NW St. Lucie West Blvd #1276, PORT ST. LUCIE, FL 34986 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-29 | 1729 NW St. Lucie West Blvd #1276, PORT ST. LUCIE, FL 34986 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 1729 NW St. Lucie West Blvd #1276, PORT ST. LUCIE, FL 34986 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-24 |
| Florida Limited Liability | 2022-06-28 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
