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WAVES OF WELLNESS MEDICAL MASSAGE LLC

Company Details

Entity Name: WAVES OF WELLNESS MEDICAL MASSAGE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 20 May 2024 (9 months ago)
Document Number: L24000231612
Address: 1603 10TH AVENUE, VERO BEACH, FL 32960 UN
Mail Address: PO BOX 651216, VERO BEACH, FL 32965
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932937182 2024-07-22 2024-07-22 583 28TH AVE SW, VERO BEACH, FL, 329683202, US 1603 10TH AVE, VERO BEACH, FL, 329606231, US

Contacts

Phone +1 772-539-6316

Authorized person

Name KELLY MACHATA
Role MEMBER OF THE LLC/ CO OWNER
Phone 7725396316

Taxonomy

Taxonomy Code 225700000X - Massage Therapist
Is Primary Yes

Agent

Name Role Address
MACHATA, KELLY A Agent 583 28TH AVE SW, VERO BEACH, FL 32968

Authorized Member

Name Role Address
MACHATA, KELLY A Authorized Member 583 28TH AVE SW, VERO BEACH, FL 32968 UN
RUPCHIS, TYLER Authorized Member 583 28TH AVE SW, VERO BEACH, FL 32968 UN

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-10-01 1603 10TH AVENUE, VERO BEACH, FL 32960 UN No data
CHANGE OF PRINCIPAL ADDRESS 2024-10-01 1603 10TH AVENUE, VERO BEACH, FL 32960 UN No data

Documents

Name Date
Florida Limited Liability 2024-05-20

Date of last update: 08 Feb 2025

Sources: Florida Department of State