| Entity Name: | WELLNESS PENSACOLA PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 Jul 2023 (2 years ago) |
| Document Number: | L23000358086 |
| FEI/EIN Number | 93-2661825 |
| Address: | 4400 Bayou Blvd, 49A, PENSACOLA, FL 32503 |
| Mail Address: | 4400 Bayou Blvd, 49A, PENSACOLA, FL 32503 |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114767373 | 2024-05-27 | 2024-05-27 | 1765 E NINE MILE RD STE 1-426, PENSACOLA, FL, 325145479, US | 4400 BAYOU BLVD STE 49A, PENSACOLA, FL, 325031909, US | |||||||||||||||
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| Phone | +1 850-741-4723 |
| Fax | 8507414579 |
Authorized person
| Name | DR. ALICIA CHEN |
| Role | OWNER |
| Phone | 8507414723 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHEN, ALICIA L, MD | Agent | 4400 Bayou Blvd, 49A, PENSACOLA, FL 32503 |
| Name | Role | Address |
|---|---|---|
| CHEN, ALICIA L, MD | Manager | 4400 Bayou Blvd, 49A PENSACOLA, FL 32503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-05 | 4400 Bayou Blvd, 49A, PENSACOLA, FL 32503 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-05 | 4400 Bayou Blvd, 49A, PENSACOLA, FL 32503 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-05 | 4400 Bayou Blvd, 49A, PENSACOLA, FL 32503 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-05 |
| Florida Limited Liability | 2023-07-31 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
