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DR. SALAS WELLNESS CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: DR. SALAS WELLNESS CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Jan 2024 (a year ago)
Document Number: L24000050577
FEI/EIN Number 991276621
Mail Address: 1906 SILO OAKS PLACE, MIDDLEBURG, FL, 32068, US
Address: 13241 Bartram Park Blvd #809, Jacksonville, FL, 32258, US
ZIP code: 32258
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SALAS STEPHANIE Manager 1906 SILO OAKS PLACE, MIDDLEBURG, FL, 32068
SALAS STEPHANIE Agent 1906 SILO OAKS PLACE, MIDDLEBURG, FL, 32068

National Provider Identifier

NPI Number:
1548001662
Certification Date:
2024-06-03

Authorized Person:

Name:
STEPHANIE A SALAS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9047471633

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000025194 RESTORATIVE LIFE ACTIVE 2024-02-12 2029-12-31 - 1906 SILO OAKS, SILO OAKS PLACE, MIDDLEBURG, FL, 32068

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-05-28 13241 Bartram Park Blvd #809, Jacksonville, FL 32258 -

Documents

Name Date
ANNUAL REPORT 2025-02-06
Florida Limited Liability 2024-01-26

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Date of last update: 03 Jul 2025

Sources: Florida Department of State