| Entity Name: | SUNFLOWERS BLOOM WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 Jul 2024 (6 months ago) |
| Document Number: | L24000337761 |
| Address: | 3466 SW PLUTO STREET, PORT ST. LUCIE, FL 34953 |
| Mail Address: | 3466 SW PLUTO STREET, PORT ST. LUCIE, FL 34953 |
| ZIP code: | 34953 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194555664 | 2024-08-07 | 2024-08-07 | 2255 SE VETERANS MEMORIAL PKWY # 7084, PORT ST LUCIE, FL, 349524872, US | 3466 SW PLUTO ST, PORT ST LUCIE, FL, 349533483, US | |||||||||||||
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| Phone | +1 772-494-5135 |
Authorized person
| Name | MRS. CRYSTAL ANN KELLY |
| Role | LMFT |
| Phone | 7724945135 |
Taxonomy
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KELLY, CRYSTAL A | Agent | 3466 SW PLUTO STREET, PORT ST. LUCIE, FL 34953 |
| Name | Role | Address |
|---|---|---|
| KELLY, CRYSTAL A | Chief Executive Officer | 3466 SW PLUTO STREET, PORT ST. LUCIE, FL 34953 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-31 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
