| Entity Name: | TRANSFORM LIFE FAMILY WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Jun 2023 (2 years ago) |
| Document Number: | L23000291068 |
| FEI/EIN Number | 86-3640705 |
| Address: | 710 Oakfield Drive, Suite 120, BRANDON, FL 33511 |
| Mail Address: | 710 Oakfield Drive, Suite 120, BRANDON, FL 33511 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154169829 | 2024-07-17 | 2024-07-17 | 710 OAKFIELD DR STE 120, BRANDON, FL, 335114931, US | 710 OAKFIELD DR STE 120, BRANDON, FL, 335114931, US | |||||||||||||
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| Phone | +1 813-324-7889 |
Authorized person
| Name | LATONYA RODGERS |
| Role | FNP, OWNER |
| Phone | 8133247889 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODGERS, LATONYA | Agent | 655 OVERTON GROVE WAY APT 433, BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| RODGERS, LATONYA | Manager | 655 OVERTON GROVE WAY APT 433, BRANDON, FL 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-05-23 | 710 Oakfield Drive, Suite 120, BRANDON, FL 33511 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-20 | 710 Oakfield Drive, Suite 120, BRANDON, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| Florida Limited Liability | 2023-06-16 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
