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REVIVE WELLNESS BAR, LLC - Florida Company Profile

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Company Details

Entity Name: REVIVE WELLNESS BAR, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Jun 2024 (a year ago)
Document Number: L24000291193
FEI/EIN Number 99-3776316
Address: 3988 MAGENTA PLACE, SAINT CLOUD, FL, 34772, US
Mail Address: 3988 MAGENTA PLACE, SAINT CLOUD, FL, 34772, US
ZIP code: 34772
City: Saint Cloud
County: Osceola
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Sanchez Sarah YAPRN Agent 3988 MAGENTA PLACE, SAINT CLOUD, FL, 34772
SANCHEZ SARAH Manager 3988 MAGENTA PLACE, SAINT CLOUD, FL, 34772

National Provider Identifier

NPI Number:
1982413365
Certification Date:
2025-01-27

Authorized Person:

Name:
MISS SARAH YVETTE SANCHEZ
Role:
OWNER-FNP-C
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207NS0135X - Procedural Dermatology Physician
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Documents

Name Date
Florida Limited Liability 2024-06-27

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Date of last update: 02 Aug 2025

Sources: Florida Department of State