| Entity Name: | PHILOTEMO HEALTH AND WELLNESS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jul 2023 (2 years ago) |
| Document Number: | L23000341422 |
| FEI/EIN Number | 93-2472126 |
| Address: | 4010 W STATE ST, TAMPA, FL, 33609, US |
| Mail Address: | 4010 W STATE ST, TAMPA, FL, 33609, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639850563 | 2023-07-25 | 2023-07-25 | 4010 W STATE ST, TAMPA, FL, 336091264, US | 4010 W STATE ST, TAMPA, FL, 336091264, US | |||||||||||||
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| Phone | +1 813-758-0305 |
Authorized person
| Name | EDITH L KAVOUKLIS |
| Role | OWNER/MGR |
| Phone | 8137580305 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KAVOUKLIS EDITH | Agent | 4010 W STATE ST, TAMPA, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| KAVOUKLIS EDITH | Manager | 4010 W STATE ST, TAMPA, FL, 33609-126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-27 | 4010 W STATE ST, TAMPA, FL 33609 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| Florida Limited Liability | 2023-07-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
