Entity Name: | TJ HEALTH & WELLNESS LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 11 Jun 2024 (8 months ago) |
Document Number: | L24000265547 |
Address: | 4575 SE 48TH PL RD, OCALA, FL, 34480 |
Mail Address: | 4575 SE 48TH PL RD, OCALA, FL, 34480 |
ZIP code: | 34480 |
County: | Marion |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1083457345 | 2024-06-14 | 2024-08-27 | 400 SW 1ST AVE UNIT 1179, OCALA, FL, 344787748, US | 400 SW 1ST AVE UNIT 1179, OCALA, FL, 344787748, US | |||||||||||||||||||||
|
Phone | +1 352-572-0428 |
Authorized person
Name | MRS. TANYA MARIE JOHNSON |
Role | OWNER |
Phone | 3525720428 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 261Q00000X - Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
Is Primary | No |
Name | Role | Address |
---|---|---|
JOHNSON TANYA M | Agent | 4575 SE 48TH PL RD, OCALA, FL, 34480 |
Name | Role | Address |
---|---|---|
JOHNSON TANYA | Manager | 4575 SE 48TH PL RD, OCALA, FL, 34480 |
Name | Date |
---|---|
Florida Limited Liability | 2024-06-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State