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BLUEWATER WELLNESS CENTER P.C

Company Details

Entity Name: BLUEWATER WELLNESS CENTER P.C
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 24 Jan 2023 (2 years ago)
Document Number: P23000007631
FEI/EIN Number 92-1922211
Address: 10870 US Highway 1 North, Unit 105, Ponte Vedra, FL, 32081, US
Mail Address: 212 CORNWALL DR, PONTE VEDRA, FL, 32081, US
ZIP code: 32081
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689355869 2023-07-31 2023-08-15 212 CORNWALL DR, PONTE VEDRA, FL, 320810126, US 10870 US HIGHWAY 1 N UNIT 105, PONTE VEDRA, FL, 320817804, US

Contacts

Phone +1 201-248-9609

Authorized person

Name DR. KEVIN S MERLINO
Role OWNER/CHIROPRACTOR
Phone 2012489609

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
MERLINO KEVIN S Agent 212 CORNWALL DR, PONTE VEDRA, FL, 32081

President

Name Role Address
MERLINO KEVIN SDC President 212 CORNWALL DR, PONTE VEDRA, FL, 32081

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-12 10870 US Highway 1 North, Unit 105, Ponte Vedra, FL 32081 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2024-01-12
Domestic Profit 2023-01-24

Date of last update: 01 Feb 2025

Sources: Florida Department of State