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WELLSPRING MEDICAL CENTER, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
HUNTON REBECCA P Agent 7777 N WICKHAM RD, MELBOURNE, FL, 32940

Managing Member

Name Role Address
HUNTON REBECCA P Managing Member 7777 N WICKHAM ROAD 12-305, MELBOURNE, FL, 32940

Events

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

Documents

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