| Entity Name: | SAMARITAN HEALTH AND WELLNESS CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 29 Nov 2012 (12 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 06 May 2014 (11 years ago) |
| Document Number: | N12000011194 |
| FEI/EIN Number | 460922358 |
| Address: | 643 Cape Coral Parkway East, CAPE CORAL, FL, 33904, US |
| Mail Address: | 643 Cape Coral Parkway East, CAPE CORAL, FL, 33904, US |
| ZIP code: | 33904 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902427644 | 2020-05-05 | 2020-08-27 | 643 CAPE CORAL PKWY E STE B, CAPE CORAL, FL, 339048549, US | 643 CAPE CORAL PKWY E STE B, CAPE CORAL, FL, 339048549, US | |||||||||||||||||||||||
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| Phone | +1 239-257-3094 |
| Fax | 2394712870 |
Authorized person
| Name | SUSAN KAY HOOK |
| Role | EXECUTIVE DIRECTOR |
| Phone | 2392573094 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HOOK SUSAN K | Agent | 643 Cape Coral Parkway East, CAPE CORAL, FL, 33991 |
| Name | Role | Address |
|---|---|---|
| HOOK SUSAN C | Chief Executive Officer | 643 CAPE CORAL PARKWAY EAST, CAPE CORAL, FL, 33904 |
| Name | Role | Address |
|---|---|---|
| Tolmen Hillary | Director | 630 NW 15th Way, Bell Florida 32619, Cape Coral, FL, 33909 |
| Furlong Brett | Director | 1306 SW 18 St, CAPE CORAL, FL, 33991 |
| Name | Role | Address |
|---|---|---|
| O'Berski Dan | President | 3940 Rogers Street, Fort Myers, FL 33901, Estero, FL, 33928 |
| Name | Role | Address |
|---|---|---|
| Paul Meeuwsen | Treasurer | 13013 Lapis Ct, Fort Myers, FL, 33913 |
| Name | Role | Address |
|---|---|---|
| Compton Michael C | Prac | 643 Cape Coral Pkwy East, cape coral, FL, 33904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-03 | 643 Cape Coral Parkway East, Unit B, CAPE CORAL, FL 33904 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-03 | 643 Cape Coral Parkway East, Unit B, CAPE CORAL, FL 33904 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-03 | 643 Cape Coral Parkway East, Unit B, CAPE CORAL, FL 33991 | No data |
| AMENDMENT | 2014-05-06 | No data | No data |
| REINSTATEMENT | 2014-03-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-06-06 |
| ANNUAL REPORT | 2024-01-19 |
| AMENDED ANNUAL REPORT | 2023-11-27 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-02-06 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-02-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
