Search icon

MCO WELLNESS CENTER LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
OLIVA, MARIA C Agent 16874 NW 89 CT, MIAMI LAKES, FL 33018

Authorized Member

Name Role Address
OLIVA, MARIA C Authorized Member 16874 NW 89 CT, MIAMI LAKES, FL 33018

Documents

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