| Entity Name: | MARIANNA HEALTH & WELLNESS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MARIANNA HEALTH & WELLNESS, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| 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: | 29 Dec 2009 (15 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 15 Nov 2010 (14 years ago) |
| Document Number: | P09000103254 |
| FEI/EIN Number |
271573223
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4439 JACKSON STREET, MARIANNA, FL, 32448 |
| Mail Address: | 4439 Jackson St., Marianna, FL, 32448, US |
| ZIP code: | 32448 |
| County: | Jackson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083944573 | 2010-01-05 | 2012-10-18 | 4439 JACKSON ST, MARIANNA, FL, 324484659, US | 4439 JACKSON ST, MARIANNA, FL, 324484659, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 850-526-4830 |
| Fax | 8504822757 |
Authorized person
| Name | DR. DANIEL E. BONTRAGER |
| Role | PRESIDENT/OWNER |
| Phone | 8505264830 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0004409 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP3021832 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 051144700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Bennett John MDr. | President | 4439 JACKSON STREET, MARIANNA, FL, 32448 |
| Bennett John MDr. | Agent | 4439 JACKSON STREET, MARIANNA, FL, 32446 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-01-12 | 4439 JACKSON STREET, MARIANNA, FL 32448 | - |
| REGISTERED AGENT NAME CHANGED | 2021-01-12 | Bennett, John Michael, Dr. | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-07-13 | 4439 JACKSON STREET, MARIANNA, FL 32448 | - |
| NAME CHANGE AMENDMENT | 2010-11-15 | MARIANNA HEALTH & WELLNESS, P.A. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-03-31 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-02-21 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-03-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3501357105 | 2020-04-11 | 0491 | PPP | 4439 JACKSON STREET, MARIANNA, FL, 32448-4602 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
