| Entity Name: | JOWEN WELLNESS CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Jan 2024 (a year ago) |
| Document Number: | L24000052678 |
| Address: | 2054 vista parkway suite 400, west palm beach, FL, 33411, US |
| Mail Address: | 2054 vista parkway suite 400, west palm beach, FL, 33411, US |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881441624 | 2024-04-30 | 2024-08-06 | 185 RIVERA AVE, ROYAL PALM BEACH, FL, 334111005, US | 2054 VISTA PKWY STE 400, WEST PALM BEACH, FL, 334116742, US | |||||||||||||||||
|
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| Phone | +1 561-294-8331 |
Authorized person
| Name | JOHANNE JOSEPH |
| Role | FNP,PMHNP |
| Phone | 5612948331 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOSEPH DORICENT JOHANNE | Agent | 185 RIVERA AVE, ROYAL PALM BEACH, FL, 33411 |
| Name | Role | Address |
|---|---|---|
| JOSEPH DORICENT JOHANNE | Managing Member | 185 RIVERA AVE, ROYAL PALM BEACH, FL, 33411 |
| DORICENT WENCHEL | Managing Member | 185 RIVERA AVE, ROYAL PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-06 | 2054 vista parkway suite 400, west palm beach, FL 33411 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-06 | 2054 vista parkway suite 400, west palm beach, FL 33411 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
