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RENACER WELLNESS COMMUNITY LLC

Company Details

Entity Name: RENACER WELLNESS COMMUNITY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 09 Oct 2023 (a year ago)
Document Number: L23000465186
FEI/EIN Number 93-3808748
Address: 887 E Prima Vista Blvd, PORT ST LUCIE, FL 34952
Mail Address: 14247 SW 42nd ST, Unit 15, Miami, FL 33175
ZIP code: 34952
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205617800 2023-10-10 2023-10-10 887 E PRIMA VISTA BLVD, PORT ST LUCIE, FL, 349522342, US 887 E PRIMA VISTA BLVD, PORT ST LUCIE, FL, 349522342, US

Contacts

Phone +1 786-930-0548

Authorized person

Name NERLSON MEDINA CANCIO
Role OWNER
Phone 7869300548

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
Barrera Morales, Felix Agent 14247 SW 42nd ST, Unit 15, Miami, FL 33175

Manager

Name Role Address
Barrera Morales, Felix Manager 14247 SW 42nd ST, Unit 15 Miami, FL 33175

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-11-11 887 E Prima Vista Blvd, PORT ST LUCIE, FL 34952 No data
REGISTERED AGENT NAME CHANGED 2024-11-11 Barrera Morales, Felix No data
REGISTERED AGENT ADDRESS CHANGED 2024-11-11 14247 SW 42nd ST, Unit 15, Miami, FL 33175 No data
CHANGE OF PRINCIPAL ADDRESS 2024-02-09 887 E Prima Vista Blvd, PORT ST LUCIE, FL 34952 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-11-11
ANNUAL REPORT 2024-02-09
Florida Limited Liability 2023-10-09

Date of last update: 09 Feb 2025

Sources: Florida Department of State