| Entity Name: | SCRUGGS WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Apr 2024 (9 months ago) |
| Document Number: | L24000187006 |
| FEI/EIN Number | 99-3114317 |
| Address: | 22539 SW 88TH PATH, CUTLER BAY, FL 33190 |
| Mail Address: | 22539 SW 88TH PATH, CUTLER BAY, FL 33190 |
| ZIP code: | 33190 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053150888 | 2024-05-21 | 2024-05-21 | 22539 SW 88TH PATH, CUTLER BAY, FL, 331901299, US | 22539 SW 88TH PATH, CUTLER BAY, FL, 331901299, US | |||||||||||||
|
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| Phone | +1 202-621-4190 |
Authorized person
| Name | ANDREW SCRUGGS |
| Role | MANAGER |
| Phone | 2026214190 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SCRUGGS, ANDREW | Agent | 22539 SW 88TH PATH, CUTLER BAY, FL 33190 |
| Name | Role | Address |
|---|---|---|
| SCRUGGS, ANDREW | Manager | 22539 SW 88TH PATH, CUTLER BAY, FL 33190 |
| Name | Role | Address |
|---|---|---|
| SCRUGGS, DIANA | Authorized Representative | 22539 SW 88TH PATH, CUTLER BAY, FL 33190 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000111436 | CASCADIA WELLNESS HUB | ACTIVE | 2024-09-06 | 2029-12-31 | No data | 22539 SW 88TH PATH, CUTLER BAY, FL, 33190 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-04-22 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
