| Entity Name: | KAP WELLNESS CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Feb 2024 (a year ago) |
| Document Number: | P24000014323 |
| Mail Address: | 1536 NORMANDY HEIGHTS BLVD, WINTER HAVEN, FL, 33880 |
| Address: | 7500 CYPRESS GARDENS BLVD, WINTER HAVEN, FL, 33884 |
| ZIP code: | 33884 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588499883 | 2024-09-05 | 2024-09-05 | 7500 CYPRESS GARDENS BLVD, WINTER HAVEN, FL, 338843200, US | 7500 CYPRESS GARDENS BLVD, WINTER HAVEN, FL, 338843200, US | |||||||||||||||
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| Phone | +1 863-875-6063 |
| Fax | 8638756063 |
Authorized person
| Name | PAUL ESTRADA |
| Role | OWNER |
| Phone | 8638756063 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ESTRADA PAUL | Agent | 1536 NORMANDY HEIGHTS BLVD, WINTER HAVEN, FL, 33880 |
| Name | Role | Address |
|---|---|---|
| ESTRADA PAUL | President | 1536 NORMANDY HEIGHTS BLVD, WINTER HAVEN, FL, 33880 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-02-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
