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LIFESTYLE WELLNESS CENTER OF THE PALM BEACHES LLC

Company Details

Entity Name: LIFESTYLE WELLNESS CENTER OF THE PALM BEACHES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 24 May 2008 (17 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: L08000062067
FEI/EIN Number 262876111
Mail Address: 14434 PADDOCK DRIVE, WELLINGTON, FL, 33414
Address: 11903 SOUTHERN BLVD., SUITE # 110, ROYAL PALM BEACH, FL, 33411
ZIP code: 33411
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104071943 2008-11-20 2008-11-20 11903 SOUTHERN BLVD, SUITE 110, ROYAL PALM BEACH, FL, 33411, US 11903 SOUTHERN BLVD STE 110, ROYAL PALM BEACH, FL, 334117644, US

Contacts

Phone +1 561-386-2213

Authorized person

Name MS. SANDY M WALDRON
Role BILLING ADMIN.
Phone 7722210190

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary No
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role Address
SKOLNICK GRANT J Agent 1066 S.W. 26TH AVE., BOYNTON BEACH, FL, 33426

Managing Member

Name Role Address
SKOLNICK ANDREW Managing Member 14434 PADDOCK DRIVE, WELLINGTON, FL, 33414
SHOLNICK GRANT Managing Member 1066 S. W. 26TH AVE., BOYNTON BEACH, FL, 33426
ORENS THURSA Managing Member 14434 PADDOCK DRIVE, WELLINGTON, FL, 33414

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2009-04-29 11903 SOUTHERN BLVD., SUITE # 110, ROYAL PALM BEACH, FL 33411 No data
REGISTERED AGENT ADDRESS CHANGED 2009-04-29 1066 S.W. 26TH AVE., BOYNTON BEACH, FL 33426 No data

Documents

Name Date
ANNUAL REPORT 2009-04-29
Florida Limited Liability 2008-05-24

Date of last update: 02 Jan 2025

Sources: Florida Department of State