Entity Name: | TREE OF LIFE INFUSION AND WELLNESS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 07 Jun 2024 (8 months ago) |
Document Number: | L24000261195 |
Address: | 26 CORDONA DRIVE, KISSIMMEE, FL 34758 |
Mail Address: | 26 CORDONA DRIVE, KISSIMMEE, FL 34758 |
ZIP code: | 34758 |
County: | Osceola |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1033945548 | 2024-09-11 | 2024-09-11 | 26 CORDONA DR, KISSIMMEE, FL, 347583427, US | 1121 N CENTRAL AVE, KISSIMMEE, FL, 347414405, US | |||||||||||||||
|
Phone | +1 407-990-3635 |
Phone | +1 407-973-7689 |
Authorized person
Name | JASCINTH BROWN |
Role | CEO |
Phone | 4079737689 |
Taxonomy
Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BROWN, JASCINTH A, MS | Agent | 26 CORDONA DRIVE, KISSIMMEE, FL 34758 |
Name | Role | Address |
---|---|---|
BROWN, JASCINTH A, MS | Manager | 26 CORDONA DRIVE, KISSIMMEE, FL 34758 |
YOUNGE, ALEXANDER | Manager | 26 CORDONA DRIVE, KISSIMMEE, FL 34758 |
YOUNGE, JASMINE | Manager | 26 CORDONA DRIVE, KISSIMMEE, FL 34758 |
Name | Date |
---|---|
Florida Limited Liability | 2024-06-07 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State