Entity Name: | PURE HOPE WEIGHT LOSS AND HEALTHCARE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 21 May 2024 (8 months ago) |
Document Number: | L24000235242 |
Address: | 145 Hilden Rd, Suite 123, PONTE VEDRA, FL, 32081, US |
Mail Address: | 155 Bartram Market Drive, Suite 135, PMB 1, SAINT JOHNS, FL, 32259, US |
ZIP code: | 32081 |
County: | St. Johns |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1740014505 | 2024-08-26 | 2024-09-03 | 155 BARTRAM MARKET DR STE 135-185, SAINT JOHNS, FL, 322594581, US | 145 HILDEN RD STE 123, PONTE VEDRA, FL, 320818403, US | |||||||||||||||
|
Phone | +1 904-815-8353 |
Fax | 9042953947 |
Authorized person
Name | MRS. AMANDA HOLT |
Role | OWNER/NURSE PRACTITIONER |
Phone | 9048158353 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HOLT AMANDA M | Agent | 331 SWEET OAK WAY, SAINT AUGUSTINE, FL, 32095 |
Name | Role | Address |
---|---|---|
HOLT AMANDA M | Managing Member | 331 SWEET OAK WAY, SAINT AUGUSTINE, FL, 32095 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-09-18 | 145 Hilden Rd, Suite 123, PONTE VEDRA, FL 32081 | No data |
CHANGE OF MAILING ADDRESS | 2024-09-18 | 145 Hilden Rd, Suite 123, PONTE VEDRA, FL 32081 | No data |
Name | Date |
---|---|
Florida Limited Liability | 2024-05-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State