| Entity Name: | SENSHINE HEALTH, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Feb 2024 (a year ago) |
| Document Number: | L24000079301 |
| FEI/EIN Number | 991435685 |
| Address: | 7380 West Sand Lake Road, ORLANDO, FL, 32819, US |
| Mail Address: | 7380 West Sand Lake Road, ORLANDO, FL, 32819, US |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093555062 | 2024-05-28 | 2024-05-28 | 2121 S HIAWASSEE RD STE 116-97, ORLANDO, FL, 328358762, US | 2121 S HIAWASSEE RD STE 116-97, ORLANDO, FL, 328358762, US | |||||||||||||
|
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| Phone | +1 651-283-8375 |
Authorized person
| Name | JODENE JENSEN |
| Role | MANAGER |
| Phone | 6512838375 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JENSEN JODENE | Agent | 2121 SOUTH HIAWASSEE ROAD, ORLANDO, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| JENSEN JODENE | Manager | 2121 SOUTH HIAWASSEE ROAD SUITE 116-97, ORLANDO, FL, 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-23 | 7380 West Sand Lake Road, Suite 500, ORLANDO, FL 32819 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-23 | 7380 West Sand Lake Road, Suite 500, ORLANDO, FL 32819 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
