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SEASIDE WELLNESS OF PALM BEACH LLC - Florida Company Profile

Company Details

Entity Name: SEASIDE WELLNESS OF PALM BEACH LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 10 Dec 2024 (6 months ago)
Last Event: LC AMENDMENT
Event Date Filed: 05 Feb 2025 (4 months ago)
Document Number: M24000015438
FEI/EIN Number 332717894

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 106 BLOSSOM LN, PALM BEACH SHORES, FL, 33404, US
Mail Address: 106 BLOSSOM LN, PALM BEACH SHORES, FL, 33404, US
ZIP code: 33404
County: Palm Beach
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
IACONA LOUIS Member 106 BLOSSOM LN, PALM BEACH SHORES, FL, 33404
IACONA LOUIS Agent 106 BLOSSOM LN, PALM BEACH SHORES, FL, 33404

National Provider Identifier

NPI Number:
1992502660
Certification Date:
2025-03-03

Authorized Person:

Name:
MR. NICHOLAS PETRILLO
Role:
CEO, OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary:
No
Selected Taxonomy:
324500000X - Substance Abuse Rehabilitation Facility
Is Primary:
No
Selected Taxonomy:
323P00000X - Psychiatric Residential Treatment Facility
Is Primary:
Yes

Contacts:

Fax:
9496060488

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-02-05 106 BLOSSOM LN, PALM BEACH SHORES, FL 33404 -
CHANGE OF MAILING ADDRESS 2025-02-05 106 BLOSSOM LN, PALM BEACH SHORES, FL 33404 -
REGISTERED AGENT ADDRESS CHANGED 2025-02-05 106 BLOSSOM LN, PALM BEACH SHORES, FL 33404 -
LC AMENDMENT 2025-02-05 - -

Documents

Name Date
Foreign Limited 2024-12-10

Date of last update: 03 Jun 2025

Sources: Florida Department of State