| Entity Name: | PANACHE HOLISTICS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Mar 2006 (19 years ago) |
| Document Number: | P06000040548 |
| FEI/EIN Number | 204484258 |
| Address: | 2552 BARCELONA AVE, FORT MYERS, FL, 33905 |
| Mail Address: | 2552 BARCELONA AVE, FORT MYERS, FL, 33905 |
| ZIP code: | 33905 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376296301 | 2022-01-31 | 2022-01-31 | 2552 BARCELONA AVE, FORT MYERS, FL, 339052212, US | 2552 BARCELONA AVE, FORT MYERS, FL, 339052212, US | |||||||||||||
|
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| Phone | +1 239-410-6250 |
Authorized person
| Name | MARY E PROVENCHER |
| Role | PRESIDENT, CEO |
| Phone | 2398394997 |
Taxonomy
| Taxonomy Code | 3104A0630X - Assisted Living Facility (Behavioral Disturbances) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Provencher Mary E | Agent | 2552 BARCELONA AVE, FORT MYERS, FL, 33905 |
| Name | Role | Address |
|---|---|---|
| PROVENCHER MARY E | President | 10257 Belcrest Blvd., FORT MYERS, FL, 33913 |
| Name | Role | Address |
|---|---|---|
| BLAND GAYNELL | Secretary | 770 CAYCE LANE, FORT MYERS, FL, 33905 |
| Name | Role | Address |
|---|---|---|
| Provencher Linda A | Vice President | 1939 S PALMETTO AVE., Flagler Beach, FL, 32136 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-01-13 | Provencher, Mary E | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-13 | 2552 BARCELONA AVE, FORT MYERS, FL 33905 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-01-13 |
| ANNUAL REPORT | 2023-01-11 |
| ANNUAL REPORT | 2022-01-10 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-01-20 |
| AMENDED ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
