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CENTRAL PARK WELLNESS CLINIC, INC. - Florida Company Profile

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Company Details

Entity Name: CENTRAL PARK WELLNESS CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Mar 2023 (2 years ago)
Last Event: CONVERSION
Event Date Filed: 29 Mar 2023 (2 years ago)
Document Number: P23000031442
FEI/EIN Number 923715147
Address: 1713 W OAK RIDGE RD, ORLANDO, FL, 32809, US
Mail Address: 1713 W OAK RIDGE RD, ORLANDO, FL, 32809, US
ZIP code: 32809
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TRAN PHUONG Director 1713 W OAK RIDGE RD, ORLANDO, FL, 32809
KEOUGH SHAUN Agent 3505 LAKE LYNDA DR STE 200, ORLANDO, FL, 32817

National Provider Identifier

NPI Number:
1356027221
Certification Date:
2023-07-12

Authorized Person:

Name:
PHUONG TRAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CONVERSION 2023-03-29 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS L23000123271. CONVERSION NUMBER 500000238985

Documents

Name Date
ANNUAL REPORT 2024-01-22
Domestic Profit 2023-03-29

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Date of last update: 01 Jul 2025

Sources: Florida Department of State