| Entity Name: | WHOLISTIC MEDICINE CLINIC OF STUART, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 25 Feb 2005 (20 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | L05000020526 |
| FEI/EIN Number | 83-0421219 |
| Address: | 55 SE OSCEOLA STREET, SUITE 201, STUART, FL 34994 |
| Mail Address: | 55 SE OSCEOLA STREET, SUITE 201, STUART, FL 34994 |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003972738 | 2006-12-28 | 2020-08-22 | 55 SE OSCEOLA ST, SUITE 102, STUART, FL, 349942149, US | 55 SE OSCEOLA ST, SUITE 102, STUART, FL, 349942149, US | |||||||||||||||||||
|
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| Phone | +1 772-288-3668 |
Authorized person
| Name | MR. WILLIAM G TYE III |
| Role | MANAGING PARTNER |
| Phone | 7722872677 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUECROSS BLUESHIELD |
| Number | 24574 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GOOGE, HOWARD EJR ESQ | Agent | 401 E. OSCEOLA STREET, STUART, FL 34994 |
| Name | Role |
|---|---|
| OLENSKY & SCOTT, LLC | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-02-01 | 55 SE OSCEOLA STREET, SUITE 201, STUART, FL 34994 | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-16 | 55 SE OSCEOLA STREET, SUITE 201, STUART, FL 34994 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-02-01 |
| ANNUAL REPORT | 2008-01-16 |
| ANNUAL REPORT | 2007-01-11 |
| ANNUAL REPORT | 2006-02-07 |
| Florida Limited Liabilites | 2005-02-25 |
Date of last update: 04 Jan 2025
Sources: Florida Department of State
