| Entity Name: | ANCHORED MENTAL AND PHYSICAL WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Jul 2022 (3 years ago) |
| Document Number: | L22000314101 |
| FEI/EIN Number | 88-3279067 |
| Address: | 8405 SW 80TH PLACE, SOUTH MIAMI, FL 33143 |
| Mail Address: | 8405 SW 80TH PLACE, SOUTH MIAMI, FL 33143 |
| ZIP code: | 33143 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295414035 | 2023-07-17 | 2023-07-17 | 8405 SW 80TH PL, MIAMI, FL, 331437042, US | 8405 SW 80TH PL, MIAMI, FL, 331437042, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 305-707-8320 |
Authorized person
| Name | DR. GINGER SHUPE |
| Role | OWNER |
| Phone | 3057078320 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| POLLARI, PATRICIA | Agent | 3924 CORAL RIDGE DRIVE, CORAL SPRINGS, FL 33065 |
| Name | Role | Address |
|---|---|---|
| SHUPE, GINGER | Manager | 8405 SW 80TH PLACE, SOUTH MIAMI, FL 33143 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-25 |
| Florida Limited Liability | 2022-07-14 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
