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BLUE WELLNESS LLC

Company Details

Entity Name: BLUE WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 18 Jan 2023 (2 years ago)
Document Number: L23000032462
FEI/EIN Number 92-2724462
Address: 12555 BISCAYNE BLVD, NORTH MIAMI, FL 33181
Mail Address: 12555 BISCAYNE BLVD, NORTH MIAMI, FL 33181
ZIP code: 33181
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902353386 2016-09-02 2016-12-06 224 7TH AVE N, ST PETERSBURG, FL, 337012404, US 224 7TH AVE N, ST PETERSBURG, FL, 337012404, US

Contacts

Phone +1 941-544-2686
Fax 8446324325

Authorized person

Name MR. DANIEL S MILLER
Role CEO
Phone 9415442686

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role
UNITED STATES CORPORATION AGENTS, INC. Agent

Authorized Member

Name Role Address
ROSALES UGARTE, FIORELLA Authorized Member 12555 BISCAYNE BLVD, NORTH MIAMI, FL 33181
ROSALES UGARTE, FABIOLA Authorized Member 12555 BISCAYNE BLVD, NORTH MIAMI, FL 33181

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000086476 JETSET PILATES NOMI ACTIVE 2023-07-24 2028-12-31 No data 12555 BISCAYNE BLVD NUM 1075, NORTH MIAMI, FL, 33181

Documents

Name Date
ANNUAL REPORT 2024-03-08
Florida Limited Liability 2023-01-18

Date of last update: 10 Jan 2025

Sources: Florida Department of State