| Entity Name: | NEXTGEN WELLNESS INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jul 2024 (7 months ago) |
| Document Number: | L24000300534 |
| FEI/EIN Number | 993910729 |
| Address: | 5332 APPLEGATE CT, BRADENTON, FL, 34211, US |
| Mail Address: | 5332 APPLEGATE CT, BRADENTON, FL, 34211, US |
| ZIP code: | 34211 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023841632 | 2024-08-21 | 2024-08-21 | 7035 PROFESSIONAL PKWY E, LAKEWOOD RANCH, FL, 342408412, US | 7035 PROFESSIONAL PKWY E, LAKEWOOD RANCH, FL, 342408412, US | |||||||||||||||
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| Phone | +1 941-254-2037 |
| Fax | 9412518379 |
Authorized person
| Name | DR. ABRAHAM JOSIAH FURA |
| Role | MEDICAL DIRECTOR |
| Phone | 9412542037 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FURA BERINA | Agent | 5332 APPLEGATE CT, BRADENTON, FL, 34211 |
| Name | Role | Address |
|---|---|---|
| FURA ABRAHAM J | Authorized Member | 5332 APPLEGATE CT, BRADENTON, FL, 34211 |
| FURA BERINA | Authorized Member | 5332 APPLEGATE CT, BRADENTON, FL, 34211 |
| HAND WAYNE L | Authorized Member | 5332 APPLEGATE CT, BRADENTON, FL, 34211 |
| PAULSEN KYLE R | Authorized Member | 5332 APPLEGATE CT, BRADENTON, FL, 34211 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
