| Entity Name: | MEDICAL HOLISTIC CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MEDICAL HOLISTIC CENTER, LLC 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. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 31 Aug 2007 (18 years ago) |
| Date of dissolution: | 28 Sep 2012 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (13 years ago) |
| Document Number: | L07000089466 |
| FEI/EIN Number |
421740209
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 512 CANAL ST., N/A, NEW SMYRNA BEACH, FL, 32168, UN |
| Mail Address: | 512 CANAL ST., N/A, NEW SMYRNA BEACH, FL, 32168, UN |
| ZIP code: | 32168 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770747990 | 2008-07-16 | 2008-07-16 | 512 CANAL ST, NEW SMYRNA BEACH, FL, 321687012, US | 512 CANAL ST, NEW SMYRNA BEACH, FL, 321687012, US | |||||||||||||||||||||||||||||||
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| Phone | +1 386-663-3003 |
| Fax | 3866633007 |
Authorized person
| Name | DR. KATIE ANNE STEVENSON |
| Role | MANAGING PARTNER |
| Phone | 3866633003 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | OS9438 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDIPASS |
| Number | 279979100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 279979100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WATRY STEVEN C | Managing Member | 512 CANAL STREET, NEW SMYRNA BEACH, FL, 32168 |
| WATRY THERESA L | Manager | 512 CANAL ST, NEW SMYRNA BEACH, FL, 32168 |
| WATRY STEVEN C | Agent | 512 CANAL STREET, NEW SMYRNA BEACH, FL, 32168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-07-27 | 512 CANAL ST., N/A, NEW SMYRNA BEACH, FL 32168 UN | - |
| CHANGE OF MAILING ADDRESS | 2011-07-27 | 512 CANAL ST., N/A, NEW SMYRNA BEACH, FL 32168 UN | - |
| REGISTERED AGENT NAME CHANGED | 2010-03-31 | WATRY, STEVEN C | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-06-09 | 512 CANAL STREET, NEW SMYRNA BEACH, FL 32168 | - |
| LC NAME CHANGE | 2007-10-24 | MEDICAL HOLISTIC CENTER, LLC | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001581322 | LAPSED | 1000000531875 | VOLUSIA | 2013-09-16 | 2023-10-29 | $ 839.84 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, DAYTONA BEACH SERVICE CENTER, 1180 N WILLIAMSON BLVD STE 160, DAYTONA BEACH FL321148179 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-07-27 |
| ANNUAL REPORT | 2010-03-31 |
| ANNUAL REPORT | 2009-03-23 |
| ANNUAL REPORT | 2008-06-09 |
| LC Name Change | 2007-10-24 |
| Florida Limited Liability | 2007-08-31 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
