Entity Name: | WELLSPRING MEDICAL CENTER, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 25 Jun 2008 (17 years ago) |
Date of dissolution: | 25 Aug 2013 (11 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 25 Aug 2013 (11 years ago) |
Document Number: | L08000062304 |
FEI/EIN Number | 262867516 |
Address: | 21 SUNTREE PLACE, MELBOURNE, FL, 32940 |
Mail Address: | 7777 N WICKHAM ROAD, 12-305, MELBOURNE, FL, 32940 |
ZIP code: | 32940 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1053615179 | 2011-01-04 | 2011-01-25 | 21 SUNTREE PL, SUITE 101, MELBOURNE, FL, 329407600, US | 21 SUNTREE PL, SUITE 101, MELBOURNE, FL, 329407600, US | |||||||||||||||||||
|
Phone | +1 321-254-6803 |
Fax | 3212546819 |
Authorized person
Name | REBECCA PRICE HUNTON |
Role | OWNER |
Phone | 3212546803 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
License Number | ME95892 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HUNTON REBECCA P | Agent | 7777 N WICKHAM RD, MELBOURNE, FL, 32940 |
Name | Role | Address |
---|---|---|
HUNTON REBECCA P | Managing Member | 7777 N WICKHAM ROAD 12-305, MELBOURNE, FL, 32940 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2013-08-25 | No data | No data |
LC NAME CHANGE | 2010-08-11 | WELLSPRING MEDICAL CENTER, LLC | No data |
CHANGE OF PRINCIPAL ADDRESS | 2010-08-05 | 21 SUNTREE PLACE, MELBOURNE, FL 32940 | No data |
CHANGE OF MAILING ADDRESS | 2010-08-05 | 21 SUNTREE PLACE, MELBOURNE, FL 32940 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2010-08-05 | 7777 N WICKHAM RD, 12-305, MELBOURNE, FL 32940 | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2013-08-25 |
ANNUAL REPORT | 2012-04-30 |
ANNUAL REPORT | 2011-08-07 |
LC Name Change | 2010-08-11 |
ANNUAL REPORT | 2010-08-05 |
ANNUAL REPORT | 2009-06-09 |
Florida Limited Liability | 2008-06-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State