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DIVINE ACUPUNCTURE AND WELLNESS LLC

Company Details

Entity Name: DIVINE ACUPUNCTURE AND WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 18 Jan 2023 (2 years ago)
Document Number: L23000034413
FEI/EIN Number 92-1810880
Address: 109 E Joe P Strickland jr ave, Bushnell, FL 33513
Mail Address: 9479 CR 735, WEBSTER, FL 33597
ZIP code: 33513
County: Sumter
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164284618 2024-01-29 2024-01-29 9479 CR 735, WEBSTER, FL, 335974043, US 109 E JOE P STRICKLAND JR AVE, BUSHNELL, FL, 335136116, US

Contacts

Phone +1 352-603-7763

Authorized person

Name KASSANDRA SOROKACH
Role OWNER, ACUPUNCTURIST
Phone 3526037763

Taxonomy

Taxonomy Code 171100000X - Acupuncturist
Is Primary Yes

Agent

Name Role Address
SOROKACH, KASSANDRA R Agent 9479 CR 735, WEBSTER, FL 33597

Manager

Name Role Address
SOROKACH, KASSANDRA R Manager 9479 CR 735, WEBSTER, FL 33597

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-18 109 E Joe P Strickland jr ave, Bushnell, FL 33513 No data

Documents

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

Date of last update: 10 Feb 2025

Sources: Florida Department of State