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CLARKE PSYCH AND WELLNESS CARE LLC

Company Details

Entity Name: CLARKE PSYCH AND WELLNESS CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 May 2024 (8 months ago)
Document Number: L24000242845
Address: 7754 OKEECHOBEE BLVD, 445, WEST PALM BEACH, FL, 33411, US
Mail Address: 7754 OKEECHOBEE BLVD, 445, WEST PALM BEACH, FL, 33411, US
ZIP code: 33411
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184469934 2024-06-25 2024-10-31 7754 OKEECHOBEE BOULEVARD, 445, WEST PALM BEACH, FL, 334116481, US 3361 COMMODORE CT, WEST PALM BEACH, FL, 334116481, US

Contacts

Phone +1 561-331-3577

Authorized person

Name NADINE CLARKE
Role REGISTERED AGENT
Phone 5613313577

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes
Taxonomy Code 363LP2300X - Primary Care Nurse Practitioner
Is Primary No

Agent

Name Role Address
CLARKE NADINE Agent 7754 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33411

Manager

Name Role Address
CLARKE NADINE Manager 7754 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33411

Documents

Name Date
Florida Limited Liability 2024-05-28

Date of last update: 02 Feb 2025

Sources: Florida Department of State