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A1 HEALTH AND WELLNESS, LLC

Company Details

Entity Name: A1 HEALTH AND WELLNESS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Oct 2022 (2 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 26 Sep 2023 (a year ago)
Document Number: L22000460618
FEI/EIN Number NOT APPLICABLE
Mail Address: 2685 SNAPDRAGON DR NW, PALM BAY, FL, 32907
Address: 1747 EVANS RD., SUITE 101, MELBOURNE, FL, 32904
ZIP code: 32904
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518745223 2023-09-15 2024-06-26 1747 EVANS RD STE 101, MELBOURNE, FL, 329043869, US 1747 EVANS RD STE 101, MELBOURNE, FL, 329043869, US

Contacts

Phone +1 321-381-8184
Fax 3213437009
Fax 8337403502

Authorized person

Name MRS. TANIQUA D ANDREWS
Role OWNER
Phone 3213818184

Taxonomy

Taxonomy Code 363LP2300X - Primary Care Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
ANDREWS TANIQUA Agent 2685 SNAPDRAGON DR NW, PALM BAY, FL, 32907

Chief Executive Officer

Name Role Address
Andrews Taniqua D Chief Executive Officer 1747 Evens Road, Melboure, FL, 32904

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-09-26 No data No data
REGISTERED AGENT NAME CHANGED 2023-09-26 ANDREWS, TANIQUA No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-04
REINSTATEMENT 2023-09-26
Florida Limited Liability 2022-10-26

Date of last update: 02 Feb 2025

Sources: Florida Department of State