| Entity Name: | GREEN WAVE FAMILY WELLNESS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 May 2005 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Nov 2014 (10 years ago) |
| Document Number: | L05000045524 |
| FEI/EIN Number | 202799185 |
| Address: | 625 JENKS AVENUE, PANAMA CITY, FL, 32401, US |
| Mail Address: | 625 JENKS AVENUE, PANAMA CITY, FL, 32401, US |
| ZIP code: | 32401 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568662864 | 2007-07-24 | 2007-07-24 | 215 FOREST PARK CIR, PANAMA CITY, FL, 324054916, US | 215 FOREST PARK CIR, PANAMA CITY, FL, 324054916, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 850-215-5657 |
| Fax | 8502155658 |
Authorized person
| Name | JOHN C CLUXTON |
| Role | MANAGING OFFICER |
| Phone | 8502155657 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH-6603 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | MT-0001678 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH 8571 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOWELL CPA GROUP | Agent | 408 W. BALDWIN RD., PANAMA CITY, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| CLUXTON J. CHARLES | Manager | 625 JENKS AVENUE, PANAMA CITY, FL, 32401 |
| CLUXTON TALLIE C | Manager | 625 JENKS AVENUE, PANAMA CITY, FL, 32401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-23 | 625 JENKS AVENUE, PANAMA CITY, FL 32401 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-23 | 625 JENKS AVENUE, PANAMA CITY, FL 32401 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-02-23 | HOWELL CPA GROUP | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-23 | 408 W. BALDWIN RD., PANAMA CITY, FL 32405 | No data |
| REINSTATEMENT | 2014-11-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| AMENDMENT | 2005-12-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-02-23 |
| ANNUAL REPORT | 2016-04-01 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
