| Entity Name: | WELLISTICS CONDITIONING CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Jan 2018 (7 years ago) |
| Document Number: | P18000003853 |
| Address: | 7392 NW 35TH TERRACE, 209-210, MIAMI, FL, 33122 |
| Mail Address: | 15431 SW 306TH STREET, HOMESTEAD, FL, 33033 |
| ZIP code: | 33122 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053811968 | 2018-02-16 | 2018-06-16 | 133 JANE LN, SAINT ROSE, LA, 700873218, US | 7392 NW 35TH TER # 209-210, MIAMI, FL, 331221271, US | |||||||||||||||||||||||
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| Phone | +1 504-224-2400 |
| Phone | +1 786-650-0060 |
| Fax | 7865362503 |
Authorized person
| Name | GRISELDA GAZO |
| Role | OWNER |
| Phone | 5049942243 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ADAMS GRISELDA | Agent | 15431 SW 306TH STREET, HOMESTEAD, FL, 33033 |
| Name | Date |
|---|---|
| Domestic Profit | 2018-01-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
