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WILDFLOWER WEIGHT LOSS, PLLC

Company Details

Entity Name: WILDFLOWER WEIGHT LOSS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 10 Jan 2023 (2 years ago)
Document Number: L23000023081
FEI/EIN Number N/A
Address: 801 INTERNATIONAL PKWY, STE 500, LAKE MARY, FL 32746
Mail Address: 801 INTERNATIONAL PKWY, STE 500, LAKE MARY, FL 32746
ZIP code: 32746
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285329524 2023-04-11 2023-04-11 801 INTERNATIONAL PKWY STE 500, LAKE MARY, FL, 327464763, US 801 INTERNATIONAL PKWY STE 500, LAKE MARY, FL, 327464763, US

Contacts

Phone +1 407-869-4770

Authorized person

Name ANNE MARIE NOE
Role OWNER
Phone 4078694770

Taxonomy

Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary Yes

Agent

Name Role
UNITED STATES CORPORATION AGENTS, INC. Agent

Authorized Representative

Name Role Address
NOE, ANNE M Authorized Representative 801 INTERNATIONAL PKWY STE 500, LAKE MARY, FL 32746

Documents

Name Date
ANNUAL REPORT 2024-04-29
Florida Limited Liability 2023-01-10

Date of last update: 10 Feb 2025

Sources: Florida Department of State