Entity Name: | MCO WELLNESS CENTER LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 08 Feb 2023 (2 years ago) |
Document Number: | L23000071578 |
FEI/EIN Number | 92-2378087 |
Address: | 3300 W 84TH ST, BAY-16, HIALEAH, FL 33018 |
Mail Address: | 16874 NW 89 CT, MIAMI LAKES, FL 33018 |
ZIP code: | 33018 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1255020343 | 2023-05-04 | 2023-10-25 | 3300 W 84TH ST UNIT 16, HIALEAH, FL, 330184909, US | 3300 W 84TH ST UNIT 16, HIALEAH, FL, 330184909, US | |||||||||||||||||||
|
Phone | +1 305-456-9267 |
Fax | 3054569394 |
Authorized person
Name | MARIA C OLIVA |
Role | PRESIDENT |
Phone | 3054569267 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 261Q00000X - Clinic/Center |
Is Primary | No |
Name | Role | Address |
---|---|---|
OLIVA, MARIA C | Agent | 16874 NW 89 CT, MIAMI LAKES, FL 33018 |
Name | Role | Address |
---|---|---|
OLIVA, MARIA C | Authorized Member | 16874 NW 89 CT, MIAMI LAKES, FL 33018 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-18 |
Florida Limited Liability | 2023-02-08 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State