| Entity Name: | NU VITALITY HYDRATION AND WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Oct 2022 (2 years ago) |
| Document Number: | L22000429346 |
| FEI/EIN Number | 92-0600017 |
| Address: | 2719 HOLLYWOOD BLVD., #L-12, HOLLYWOOD, FL 33020 |
| Mail Address: | 2719 HOLLYWOOD BLVD., #L-12, HOLLYWOOD, FL 33020 |
| ZIP code: | 33020 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164148011 | 2022-10-12 | 2023-03-22 | 2719 HOLLYWOOD BLVD # L-12, HOLLYWOOD, FL, 330204821, US | 2719 HOLLYWOOD BLVD # L-12, HOLLYWOOD, FL, 330204821, US | |||||||||||||
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| Phone | +1 954-852-6954 |
Authorized person
| Name | MRS. DORRIAN CHISHOLM |
| Role | FNP-C |
| Phone | 9549981131 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHISHOLM, DORRIAN S | Agent | 2719 HOLLYWOOD BLVD., #L-12, HOLLYWOOD, FL 33020 |
| Name | Role | Address |
|---|---|---|
| CHISHOLM, DORRIAN | Authorized Person | 2719 HOLLYWOOD BLVD. #L-12, HOLLYWOOD, FL 33020 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-17 | 2719 HOLLYWOOD BLVD., #L-12, HOLLYWOOD, FL 33020 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-05-25 |
| Florida Limited Liability | 2022-10-05 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
