| Entity Name: | SUPREME CARE WELLNESS GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 21 Sep 2022 (2 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L22000411615 |
| Address: | 1736 CATALUNA CIRCLE, PORT SAINT LUCIE, FL 34986 |
| Mail Address: | 1736 CATALUNA CIRCLE, PORT SAINT LUCIE, FL 34986 |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497453948 | 2023-02-22 | 2023-02-22 | 1736 NW CATALUNA CIR, PORT SAINT LUCIE, FL, 349865800, US | 1736 NW CATALUNA CIR, PORT SAINT LUCIE, FL, 349865800, US | |||||||||||||
|
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| Phone | +1 561-449-3147 |
Authorized person
| Name | JACOLBY TILLMAN |
| Role | OWNER |
| Phone | 5614493147 |
Taxonomy
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TILLMAN, JACOLBY | Agent | 1736 CATALUNA CIRCLE, PORT SAINT LUCIE, FL 34986 |
| Name | Role | Address |
|---|---|---|
| TILLMAN, JACOLBY | Manager | 1736 CATALUNA CIRCLE, PORT SAINT LUCIE, FL 34986 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2022-09-21 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
