| Entity Name: | BLUEBIRD MEDICAL & WELLNESS CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Aug 2021 (3 years ago) |
| Document Number: | P21000073596 |
| FEI/EIN Number | 87-2214184 |
| Address: | 145 HILDEN RD, 102, PONTE VEDRA, FL, 32081 |
| Mail Address: | 145 HILDEN RD, 102, PONTE VEDRA, FL, 32081 |
| ZIP code: | 32081 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992475289 | 2021-09-17 | 2021-09-21 | 145 HILDEN RD STE 102, PONTE VEDRA, FL, 320818401, US | 145 HILDEN RD STE 102, PONTE VEDRA, FL, 320818401, US | |||||||||||||||||||||||
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| Phone | +1 904-600-4099 |
| Fax | 9044847919 |
Authorized person
| Name | ANNA MOYER |
| Role | PRESIDENT |
| Phone | 9046004099 |
Taxonomy
| Taxonomy Code | 171400000X - Health & Wellness Coach |
| Is Primary | No |
| Taxonomy Code | 1835P2201X - Ambulatory Care Pharmacist |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOYER ANNA | Agent | 9158 STARPASS DR, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| MOYER ANNA | regi | 145 hilden rd ste 102, PONTE VEDRA, FL, 32081 |
| MOYER BRETT | regi | 145 hilden rd ste 102, PONTE VEDRA, FL, 32081 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000160943 | BLUEBIRD MED SPA | ACTIVE | 2021-12-05 | 2026-12-31 | No data | 145 HILDEN RD STE 102, PONTE VEDRA, FL, 32081 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-07 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-05-10 |
| Domestic Profit | 2021-08-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
