| Entity Name: | THE MOVEMENT COLLECTIVE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 May 2023 (2 years ago) |
| Document Number: | L23000245612 |
| FEI/EIN Number | 93-1791783 |
| Address: | 5530-1 Florida Mining Blvd S, Jacksonville, FL, 32257, US |
| Mail Address: | 14637 FERN LAKE CT, NAPLES, FL, 34114, UN |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215799614 | 2024-01-30 | 2024-01-30 | 5530-1 FLORIDA MINING BLVD S, JACKSONVILLE, FL, 32257, US | 5530-1 FLORIDA MINING BLVD S, JACKSONVILLE, FL, 32257, US | |||||||||||||||||||||||||
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| Phone | +1 252-945-7456 |
Authorized person
| Name | DR. HANNAH HEIDENREICH |
| Role | CO-OWNER/ DOCTOR OF CHIROPRACTIC |
| Phone | 2395951453 |
Taxonomy
| Taxonomy Code | 111NS0005X - Sports Physician Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1679268924 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1336845791 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HEIDENREICH HANNAH L | Agent | 14637 FERN LAKE CT, NAPLES, FL, 34114 |
| Name | Role | Address |
|---|---|---|
| HEIDENREICH HANNAH L | Director | 14637 FERN LAKE CT, NAPLES, FL, 34114 |
| PINKHAM LEE T | Director | 14637 FERN LAKE CT, NAPLES, FL, 34114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-31 | 5530-1 Florida Mining Blvd S, Jacksonville, FL 32257 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| Florida Limited Liability | 2023-05-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
