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BLUEBIRD MEDICAL & WELLNESS CORP - Florida Company Profile

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Company Details

Entity Name: BLUEBIRD MEDICAL & WELLNESS CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Aug 2021 (4 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
City: Ponte Vedra
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

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
MOYER ANNA Agent 9158 STARPASS DR, JACKSONVILLE, FL, 32256

National Provider Identifier

NPI Number:
1992475289
Certification Date:
2021-09-21

Authorized Person:

Name:
ANNA MOYER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
171400000X - Health & Wellness Coach
Is Primary:
No
Selected Taxonomy:
1835P2201X - Ambulatory Care Pharmacist
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9044847919

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000160943 BLUEBIRD MED SPA ACTIVE 2021-12-05 2026-12-31 - 145 HILDEN RD STE 102, PONTE VEDRA, FL, 32081

Documents

Name Date
ANNUAL REPORT 2024-04-07
ANNUAL REPORT 2023-04-09
ANNUAL REPORT 2022-05-10
Domestic Profit 2021-08-17

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Date of last update: 02 Aug 2025

Sources: Florida Department of State