Entity Name: | OPTIMAL WELLNESS & LONGEVITY INSTITUTE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 17 Feb 2009 (16 years ago) |
Document Number: | L09000015761 |
FEI/EIN Number | 264286420 |
Address: | 875 Military Trail, SUITE 105, Jupiter, FL, 33458, US |
Mail Address: | 875 Military Trail, SUITE 105, Jupiter, FL, 33458, US |
ZIP code: | 33458 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1912370321 | 2015-11-06 | 2015-11-06 | 875 MILITARY TRL, SUITE 105, JUPITER, FL, 334585700, US | 875 MILITARY TRL, SUITE 105, JUPITER, FL, 334585700, US | |||||||||||||||||
|
Phone | +1 561-803-8407 |
Authorized person
Name | HARVEY MONTIJO |
Role | CEO |
Phone | 5618038407 |
Taxonomy
Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
License Number | ME 53688 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Morgan Michael | Agent | 460 N STATE ROAD 7, ROYAL PALM BEACH, FL, 33411 |
Name | Role | Address |
---|---|---|
MONTIJO HARVEY M | Managing Member | 875 Military Trail, Jupiter, FL, 33458 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2024-04-29 | Morgan, Michael | No data |
REGISTERED AGENT ADDRESS CHANGED | 2019-02-22 | 460 N STATE ROAD 7, SUITE 305, ROYAL PALM BEACH, FL 33411 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2016-02-22 | 875 Military Trail, SUITE 105, Jupiter, FL 33458 | No data |
CHANGE OF MAILING ADDRESS | 2016-02-22 | 875 Military Trail, SUITE 105, Jupiter, FL 33458 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-29 |
ANNUAL REPORT | 2023-04-30 |
ANNUAL REPORT | 2022-04-26 |
ANNUAL REPORT | 2021-04-15 |
ANNUAL REPORT | 2020-05-01 |
ANNUAL REPORT | 2019-02-22 |
ANNUAL REPORT | 2018-03-08 |
ANNUAL REPORT | 2017-03-22 |
ANNUAL REPORT | 2016-02-22 |
ANNUAL REPORT | 2015-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State