| Entity Name: | PMP WELLNESS L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Nov 2023 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 16 Aug 2024 (6 months ago) |
| Document Number: | L23000518626 |
| FEI/EIN Number | 93-4549502 |
| Address: | 346 FREEMAN ST. SUITE 210, LONGWOOD, FL 32750 |
| Mail Address: | 346 FREEMAN ST. SUITE 210, LONGWOOD, FL 32750 |
| ZIP code: | 32750 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649045253 | 2023-11-24 | 2024-06-02 | 346 FREEMAN ST UNIT 210, LONGWOOD, FL, 327504171, US | 346 FREEMAN ST, LONGWOOD, FL, 327504171, US | |||||||||||||
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| Phone | +1 689-290-6776 |
Authorized person
| Name | IMARA BLUME |
| Role | PROVIDER |
| Phone | 6892906776 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| IMARA BLUME | Agent | 346 FREEMAN STREET SUITE 210, LONGWOOD, FL 32750 |
| Name | Role | Address |
|---|---|---|
| BLUME, IMARA | Authorized Member | 346 FREEMAN STREET SUITE 210, LONGWOOD, FL 32750 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000142842 | ELEVATED PSYCHIATRY | ACTIVE | 2023-11-24 | 2028-12-31 | No data | 1150 NW 72ND AVE TOWER I, STE 455, 13889, MIAMI, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-23 | 346 FREEMAN STREET SUITE 210, LONGWOOD, FL 32750 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-23 | 346 FREEMAN ST. SUITE 210, LONGWOOD, FL 32750 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-23 | 346 FREEMAN ST. SUITE 210, LONGWOOD, FL 32750 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-16 | 346 FREEMAN STREET SUITE 210, LONGWOOD, FL 32750 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-08-16 | IMARA BLUME | No data |
| LC AMENDMENT | 2024-08-16 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2024-06-03 | 346 FREEMAN ST. UNIT 210, LONGWOOD, FL 32750 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-03 | 346 FREEMAN ST. UNIT 210, LONGWOOD, FL 32750 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-23 |
| LC Amendment | 2024-08-16 |
| ANNUAL REPORT | 2024-02-09 |
| Florida Limited Liability | 2023-11-16 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
