| Entity Name: | BAYSIDE HEALTH AND WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Oct 2024 (3 months ago) |
| Document Number: | L24000440809 |
| Address: | 7901 4TH ST N # 23853, ST PETERSBURG, FL 33702 |
| Mail Address: | PO BOX 9536, PANAMA CITY BEACH, FL 32417 |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659191302 | 2024-10-16 | 2024-10-16 | PO BOX 9536, PANAMA CITY BEACH, FL, 324179536, US | 7901 4TH ST N # 23853, ST PETERSBURG, FL, 337024305, US | |||||||||||||
|
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| Phone | +1 850-296-7935 |
Authorized person
| Name | MICHELLE FALCO |
| Role | FNP |
| Phone | 9198012742 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| FALCO, MICHELLE | Manager | 420 CHURCHWELL DR NUM 9536, PANAMA CITY BEACH, FL 32407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-04-01 | 7901 4TH ST N # 23853, ST PETERSBURG, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-01 | 7901 4TH ST N # 23853, ST PETERSBURG, FL 33702 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-10-15 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
