Entity Name: | I3M WELLNESS LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 19 Aug 2024 (6 months ago) |
Document Number: | L24000362414 |
Address: | 216 TRISH DRIVE, CRESTVIEW, FL 32536 |
Mail Address: | 216 TRISH DRIVE, CRESTVIEW, FL 32536 |
ZIP code: | 32536 |
County: | Okaloosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1598588345 | 2024-10-31 | 2024-11-04 | 216 TRISH DR, CRESTVIEW, FL, 325366454, US | 216 TRISH DR, CRESTVIEW, FL, 325366454, US | |||||||||||||||||||||||||
|
Phone | +1 931-802-9137 |
Authorized person
Name | ISSAC B MYERS |
Role | CEO |
Phone | 8502707055 |
Taxonomy
Taxonomy Code | 133N00000X - Nutritionist |
Is Primary | No |
Taxonomy Code | 171400000X - Health & Wellness Coach |
Is Primary | No |
Taxonomy Code | 2255A2300X - Athletic Trainer |
Is Primary | No |
Taxonomy Code | 225700000X - Massage Therapist |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MYERS, ISSAC B | Agent | 216 TRISH DRIVE, CRESTVIEW, FL 32536 |
Name | Role | Address |
---|---|---|
MYERS, ISSAC B | Chief Executive Officer | 216 TRISH DRIVE, CRESTVIEW, FL 32536 UN |
Name | Date |
---|---|
Florida Limited Liability | 2024-08-19 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State