| Entity Name: | RE-NU MENTAL WELLNESS CENTER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Feb 2023 (2 years ago) |
| Document Number: | L23000093397 |
| FEI/EIN Number | 92-2751284 |
| Address: | 1000 W MCNAB RD, Ste 124, POMPANO BEACH, FL 33069 |
| Mail Address: | 1000 W MCNAB RD, Ste 124, POMPANO BEACH, FL 33069 |
| ZIP code: | 33069 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598454894 | 2023-05-02 | 2024-08-16 | 1000 W MCNAB RD, POMPANO BEACH, FL, 330694719, US | 1000 W MCNAB RD, POMPANO BEACH, FL, 330694719, US | |||||||||||||||
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| Phone | +1 954-440-7858 |
| Fax | 9544058606 |
Authorized person
| Name | DESHAUNAH DIXON |
| Role | OWNER |
| Phone | 9542950219 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIXON, DE-SHAUNAH | Agent | 1000 W MCNAB RD, Ste 124, POMPANO BEACH, FL 33069 |
| Name | Role | Address |
|---|---|---|
| DIXON, DE-SHAUNAH | Authorized Member | 1000 W MCNAB RD, Ste 124 POMPANO BEACH, FL 33069 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-07 | 1000 W MCNAB RD, Ste 124, POMPANO BEACH, FL 33069 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-07 | 1000 W MCNAB RD, Ste 124, POMPANO BEACH, FL 33069 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-07 | 1000 W MCNAB RD, Ste 124, POMPANO BEACH, FL 33069 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| Florida Limited Liability | 2023-02-21 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
