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ADVANCED PRACTICE AND WELLNESS LLC

Company Details

Entity Name: ADVANCED PRACTICE AND WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 14 Mar 2024 (a year ago)
Document Number: L24000128801
Address: 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243
Mail Address: 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243
ZIP code: 34243
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003656919 2024-05-29 2024-05-29 1790 WATERSIDE OAKS DR, ORANGE CITY, FL, 327639206, US 1790 WATERSIDE OAKS DR, ORANGE CITY, FL, 327639206, US

Contacts

Phone +1 256-612-0173

Authorized person

Name GREGORY WADE PRINCE
Role CO-OWNER
Phone 2566120173

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role
CINDY'S FLORIDA LLC Agent

Authorized Representative

Name Role Address
PIERCE, ANDREW Authorized Representative 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243

Documents

Name Date
Florida Limited Liability 2024-03-14

Date of last update: 08 Feb 2025

Sources: Florida Department of State