Entity Name: | LIFESTYLES CHIROPRACTIC LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 22 Mar 2006 (19 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 27 Aug 2007 (17 years ago) |
Document Number: | L06000032759 |
FEI/EIN Number | 204347925 |
Address: | 11300 LINDBERGH BLVD. #110, FT. MYERS, FL, 33913 |
Mail Address: | 11300 LINDBERGH BLVD. #110, FT. MYERS, FL, 33913 |
ZIP code: | 33913 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1598820821 | 2006-12-27 | 2013-05-14 | 11300 LINDBERGH BLVD, SUITE 110, FORT MYERS, FL, 339138827, US | 11300 LINDBERGH BLVD, SUITE 110, FORT MYERS, FL, 339138827, US | |||||||||||||||||||
|
Phone | +1 239-334-9355 |
Fax | 2393349358 |
Authorized person
Name | DR. TODD E WICKMANN |
Role | OWNER |
Phone | 2393349355 |
Taxonomy
Taxonomy Code | 111NS0005X - Sports Physician Chiropractor |
License Number | CH9155 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
STOKKE DARIN W | Agent | 11300 LINDBERGH BLVD. #110, FT. MYERS, FL, 33913 |
Name | Role |
---|---|
LIFESTYLES HEALTHCARE GROUP, P.A. | Managing Member |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2018-01-04 | STOKKE, DARIN W. | No data |
CHANGE OF PRINCIPAL ADDRESS | 2012-08-13 | 11300 LINDBERGH BLVD. #110, FT. MYERS, FL 33913 | No data |
CHANGE OF MAILING ADDRESS | 2012-08-13 | 11300 LINDBERGH BLVD. #110, FT. MYERS, FL 33913 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2012-08-13 | 11300 LINDBERGH BLVD. #110, FT. MYERS, FL 33913 | No data |
LC AMENDMENT | 2007-08-27 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-27 |
ANNUAL REPORT | 2023-03-15 |
ANNUAL REPORT | 2022-07-14 |
ANNUAL REPORT | 2021-02-16 |
ANNUAL REPORT | 2020-03-30 |
ANNUAL REPORT | 2019-04-29 |
ANNUAL REPORT | 2018-01-04 |
ANNUAL REPORT | 2017-05-01 |
ANNUAL REPORT | 2016-03-09 |
ANNUAL REPORT | 2015-01-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State