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OLIVE BRANCH TOTAL WELLNESS LLC

Company Details

Entity Name: OLIVE BRANCH TOTAL WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 25 Mar 2024 (a year ago)
Document Number: L24000142877
Address: 281 SARATOGA BLVD E, ROYAL PALM BEACH, FL 33411
Mail Address: 281 SARATOGA BLVD E, ROYAL PALM BEACH, FL 33411
ZIP code: 33411
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538980826 2024-10-21 2024-10-21 281 SARATOGA BLVD E, ROYAL PALM BEACH, FL, 334118282, US 281 SARATOGA BLVD E, ROYAL PALM BEACH, FL, 334118282, US

Contacts

Phone +1 973-807-8790

Authorized person

Name NIA SPICER-THOMAS
Role OWNER
Phone 5612239161

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
SPICER-THOMAS, NIA S Agent 281 SARATOGA BLVD E, ROYAL PALM BEACH, FL 33411

Manager

Name Role Address
THOMAS, BRANDON L Manager 281 SARATOGA BLVD E, ROYAL PALM BEACH, FL 33411

Documents

Name Date
Florida Limited Liability 2024-03-25

Date of last update: 08 Feb 2025

Sources: Florida Department of State