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SOUTH LAKE WELLNESS & INJURY CENTER, PL - Florida Company Profile

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Company Details

Entity Name: SOUTH LAKE WELLNESS & INJURY CENTER, PL
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SOUTH LAKE WELLNESS & INJURY CENTER, PL is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 06 Apr 2004 (21 years ago)
Last Event: AMENDMENT
Event Date Filed: 20 May 2004 (21 years ago)
Document Number: L04000026047
FEI/EIN Number 200965743

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2745 CITRUS TOWER BLVD, CLERMONT, FL, 34711, US
Mail Address: 2745 CITRUS TOWER BLVD, CLERMONT, FL, 34711, US
ZIP code: 34711
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BROCKMAN PETER J Managing Member 13185 Lake Butler Blvd., Windermere, FL, 34786
BROCKMAN PETER J Agent 2745 CITRUS TOWER BLVD, CLERMONT, FL, 34711
Brockman Mary Beth Mgr 13185 Lake Butler Blvd, Windermere, FL, 34786

National Provider Identifier

NPI Number:
1851579320
Certification Date:
2024-05-16

Authorized Person:

Name:
MRS. MARY BETH BROCKMAN
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
3522414113

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-02-08 2745 CITRUS TOWER BLVD, CLERMONT, FL 34711 -
CHANGE OF PRINCIPAL ADDRESS 2018-11-26 2745 CITRUS TOWER BLVD, CLERMONT, FL 34711 -
CHANGE OF MAILING ADDRESS 2018-11-26 2745 CITRUS TOWER BLVD, CLERMONT, FL 34711 -
AMENDMENT 2004-05-20 - -

Documents

Name Date
ANNUAL REPORT 2024-01-03
ANNUAL REPORT 2023-01-05
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-07

USAspending Awards / Financial Assistance

Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
175000.00
Total Face Value Of Loan:
175000.00

Paycheck Protection Program

Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
175000
Current Approval Amount:
175000
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
176025.06

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Date of last update: 03 Jun 2025

Sources: Florida Department of State