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WILDFLOWER TELEHEALTH NETWORK, INC. - Florida Company Profile

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Company Details

Entity Name: WILDFLOWER TELEHEALTH NETWORK, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Jun 2024 (a year ago)
Document Number: P24000039887
FEI/EIN Number 92-3702174
Address: 2443 FILLMORE STREET #380-6499, SAN FRANCISCO, CA, 94115, UN
Mail Address: 2443 FILLMORE STREET #380-6499, SAN FRANCISCO, CA, 94115, UN
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324
SPARKS LEAH Chief Executive Officer 2443 FILLMORE STREET #380-6499, SAN FRANCISCO, CA, 94115
RUSSELL KIM Chief Financial Officer 2443 FILLMORE STREET #380-6499, SAN FRANCISCO, CA, 94115
TEPPEMA SARA Secretary 2443 FILLMORE STREET #380-6499, SAN FRANCISCO, CA, 94115

National Provider Identifier

NPI Number:
1861228587
Certification Date:
2024-09-10

Authorized Person:

Name:
NASH PRINCE
Role:
SVP
Phone:

Taxonomy:

Selected Taxonomy:
163WL0100X - Lactation Consultant (Registered Nurse)
Is Primary:
No
Selected Taxonomy:
174N00000X - Lactation Consultant (Non-RN)
Is Primary:
Yes

Contacts:

Documents

Name Date
Domestic Profit 2024-06-10

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Date of last update: 03 Aug 2025

Sources: Florida Department of State