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EXTRACARE & WELLNESS, LLC - Florida Company Profile

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Company Details

Entity Name: EXTRACARE & WELLNESS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Dec 2022 (3 years ago)
Document Number: L22000517965
FEI/EIN Number 92-1313538
Mail Address: PO BOX 682149, ORLANDO, FL, 32868
Address: 1410 N PINE HILLS ROAD, ORLANDO, FL, 32808
ZIP code: 32808
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
POLYNICE JOANES Manager PO BOX 682149, ORLANDO, FL, 32868
POLYNICE JOANES Agent 1410 N PINE HILLS ROAD, ORLANDO, FL, 32808

National Provider Identifier

NPI Number:
1417501040
Certification Date:
2021-07-15

Authorized Person:

Name:
DR. KETTIA CADET CHERENFANT
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207QA0505X - Adult Medicine Physician
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-04-09
ANNUAL REPORT 2023-03-23
Florida Limited Liability 2022-12-09

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Date of last update: 02 Aug 2025

Sources: Florida Department of State