| 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 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548001662 | 2024-06-03 | 2024-06-03 | 13241 BARTRAM PARK BLVD UNIT 809, JACKSONVILLE, FL, 322585216, US | 13241 BARTRAM PARK BLVD UNIT 809, JACKSONVILLE, FL, 322585216, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 904-723-4827 |
| Fax | 9047471633 |
Authorized person
| Name | STEPHANIE A SALAS |
| Role | OWNER |
| Phone | 9047231633 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SALAS STEPHANIE | Agent | 1906 SILO OAKS PLACE, MIDDLEBURG, FL, 32068 |
| Name | Role | Address |
|---|---|---|
| SALAS STEPHANIE | Manager | 1906 SILO OAKS PLACE, MIDDLEBURG, FL, 32068 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000025194 | RESTORATIVE LIFE | ACTIVE | 2024-02-12 | 2029-12-31 | No data | 1906 SILO OAKS, SILO OAKS PLACE, MIDDLEBURG, FL, 32068 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-28 | 13241 Bartram Park Blvd #809, Jacksonville, FL 32258 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
