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B-WELL HEALTH AND WELLNESS, LLC - Florida Company Profile

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Company Details

Entity Name: B-WELL HEALTH AND WELLNESS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Dec 2024 (8 months ago)
Document Number: L24000512173
FEI/EIN Number NOT APPLICABLE
Address: 7120 CARAWAY LANE, PANAMA CITY, FL, 32409
Mail Address: 7120 CARAWAY LANE, PANAMA CITY, FL, 32409
ZIP code: 32409
City: Panama City
County: Bay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BOUTWELL JASON G Agent 7120 CARAWAY LANE, PANAMA CITY, FL, 32409
Boutwell Jason G Owne 2216 Hammock Square Dr, Apt 206, Lynn Haven, FL, 32444

National Provider Identifier

NPI Number:
1023845666
Certification Date:
2024-09-17

Authorized Person:

Name:
JASON GLENN BOUTWELL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
8502482469
Fax:
8502482468

Documents

Name Date
Florida Limited Liability 2024-12-10

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Date of last update: 01 Aug 2025

Sources: Florida Department of State