| Entity Name: | FIRST CHOICE WELLNESS CENTERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Jul 2022 (3 years ago) |
| Document Number: | M22000011095 |
| FEI/EIN Number | 86-1933031 |
| Address: | 57 South Coyle Street, PENSACOLA, FL 32502 |
| Mail Address: | 600 COMMONS DR., SUITE 101A, GALLATIN, TN 37066 |
| ZIP code: | 32502 |
| County: | Escambia |
| Place of Formation: | TENNESSEE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831837376 | 2022-05-24 | 2024-01-22 | 600 COMMONS DR STE 101A, GALLATIN, TN, 370666331, US | 57 S COYLE ST, PENSACOLA, FL, 325025505, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 866-665-3244 |
| Fax | 8444613244 |
| Phone | +1 850-604-8337 |
Authorized person
| Name | MARK OSBORNE |
| Role | MANAGING MEMBER |
| Phone | 8666653244 |
Taxonomy
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 117750800 |
| State | FL |
| Issuer | TN SEC OF STATE |
| Number | 001167755 |
| State | TN |
| Name | Role |
|---|---|
| INCORP SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| OSBORNE, MARK | Member | 600 COMMONS DR., SUITE 101A, GALLATIN, TN 37066 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-12-13 | 57 South Coyle Street, PENSACOLA, FL 32502 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-17 | 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-04-27 |
| Foreign Limited | 2022-07-15 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
