| Entity Name: | BELLA VIDA WELLNESS SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 May 2023 (2 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 04 Aug 2023 (2 years ago) |
| Document Number: | P23000036322 |
| FEI/EIN Number | 92-3942365 |
| Address: | 4483 NW 36TH STREET SUITE 112, MIAMI SPRINGS, FL 33166 |
| Mail Address: | 4483 NW 36TH STREET SUITE 112, MIAMI SPRINGS, FL 33166 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861276156 | 2023-08-21 | 2024-03-28 | 4483 NW 36TH ST STE 112, MIAMI SPRINGS, FL, 331667260, US | 4483 NW 36TH ST STE 112, MIAMI SPRINGS, FL, 331667260, US | |||||||||||||
|
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| Phone | +1 305-392-0106 |
Authorized person
| Name | LEONIDA HERNANDEZ SOTO |
| Role | AUTONOMOUS NURSE PRACTITIONER |
| Phone | 7862867041 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEONIDA HERNANDEZ SOTO | Agent | 4483 NW 36TH STREET SUITE 112, MIAMI SPRINGS, FL 33166 |
| Name | Role | Address |
|---|---|---|
| VIDAL HERNANDEZ, LISSET | Vice President | 4483 NW 36TH STREET SUITE 112, MIAMI SPRINGS, FL 33166 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ SOTO, LEONIDA | President | 4483 NW 36TH STREET SUITE 112, MIAMI SPRINGS, FL 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2023-08-04 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-08-04 | 4483 NW 36TH STREET SUITE 112, MIAMI SPRINGS, FL 33166 | No data |
| CHANGE OF MAILING ADDRESS | 2023-08-04 | 4483 NW 36TH STREET SUITE 112, MIAMI SPRINGS, FL 33166 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-08-04 | LEONIDA HERNANDEZ SOTO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-08-04 | 4483 NW 36TH STREET SUITE 112, MIAMI SPRINGS, FL 33166 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-03-13 |
| Amendment | 2023-08-04 |
| Domestic Profit | 2023-05-08 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
