| Entity Name: | AMELIA ISLAND SENIOR WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Aug 2024 (5 months ago) |
| Document Number: | L24000366701 |
| FEI/EIN Number | 994636592 |
| Address: | 2782 Park Square Place E, FERNANDINA BEACH, FL, 32034, US |
| Mail Address: | 2782 Park Square Place E, FERNANDINA BEACH, FL, 32034, US |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639990831 | 2024-10-21 | 2024-10-21 | 2782 PARK SQUARE PL E, FERNANDINA BEACH, FL, 320348933, US | 2782 PARK SQUARE PL E, FERNANDINA BEACH, FL, 320348933, US | |||||||||||||||
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| Phone | +1 804-543-3724 |
| Fax | 9046011495 |
Authorized person
| Name | CAROL GRUBER |
| Role | OWNER |
| Phone | 8045433724 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRUBER CAROL LAPRN | Agent | 1401 PARK AVENUE, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| GRUBER CAROL LAPRN | Manager | 1401 PARK AVENUE ,SUITE C-1, FERNANDINA BEACH, FL, 32034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-07 | 2782 Park Square Place E, FERNANDINA BEACH, FL 32034 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-07 | 2782 Park Square Place E, FERNANDINA BEACH, FL 32034 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
