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ENPOWER HEALTH, LLC - Florida Company Profile

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Company Details

Entity Name: ENPOWER HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Dec 2023 (2 years ago)
Last Event: CONVERSION
Event Date Filed: 22 Dec 2023 (2 years ago)
Document Number: L23000560429
FEI/EIN Number 87-3048837
Address: 315 E. Robinson Street, Suite 600, Orlando, FL, 32801, US
Mail Address: PO Box 2644, Windermere, FL, 34786, US
ZIP code: 32801
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Dizney David Manager PO Box 2644, Windermere, FL, 34786
- Agent -

National Provider Identifier

NPI Number:
1164255782
Certification Date:
2024-08-20

Authorized Person:

Name:
SUSAN LYNN BAUMGARTNER
Role:
CHIEF OPERATING OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
4074993538

Events

Event Type Filed Date Value Description
CONVERSION 2023-12-22 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P21000088240. CONVERSION NUMBER 700000248257

Documents

Name Date
Florida Limited Liability 2023-12-22

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Date of last update: 03 Aug 2025

Sources: Florida Department of State