| Entity Name: | FORGE WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Jun 2023 (2 years ago) |
| Document Number: | L23000301588 |
| FEI/EIN Number | 93-2018040 |
| Address: | 169 TEQUESTA DRIVE, UNIT 12E, TEQUESTA, FL 33469 |
| Mail Address: | 169 TEQUESTA DRIVE, UNIT 12E, TEQUESTA, FL 33469 |
| ZIP code: | 33469 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154107050 | 2023-09-06 | 2023-09-06 | 169 TEQUESTA DR STE 12E, TEQUESTA, FL, 334692783, US | 169 TEQUESTA DR STE 12E, TEQUESTA, FL, 334692783, US | |||||||||||||||
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| Phone | +1 561-600-0194 |
| Fax | 9543013742 |
Authorized person
| Name | LAWRENCE PATRICK NOLAN |
| Role | OWNER |
| Phone | 5616000194 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NOLAN, LAWRENCE P | Agent | 12140 AVILES CIR, PALM BEACH GARDENS, FL 33418 |
| Name | Role | Address |
|---|---|---|
| NOLAN, LAWRENCE P | Manager | 12140 AVILES CIR, PALM BEACH GARDENS, FL 33418 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| Florida Limited Liability | 2023-06-22 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
