| Entity Name: | ESSENTIAL WELLNESS FOR LIFE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 13 Aug 2009 (15 years ago) |
| Date of dissolution: | 24 Jan 2014 (11 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Jan 2014 (11 years ago) |
| Document Number: | L09000078081 |
| FEI/EIN Number | 27-0726848 |
| Address: | 34754 US HWY. 19, N., PALM HARBOR, FL 34684 |
| Mail Address: | 34754 US HWY. 19, N., PALM HARBOR, FL 34684 |
| ZIP code: | 34684 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285867408 | 2009-09-03 | 2012-12-06 | 34754 US HIGHWAY 19 N, PALM HARBOR, FL, 346842120, US | 34754 US HIGHWAY 19 N, PALM HARBOR, FL, 346842120, US | |||||||||||||||||||
|
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| Phone | +1 727-507-7100 |
| Fax | 7275077137 |
Authorized person
| Name | DR. CHRISTINA ALICE FRANCO |
| Role | MANAGER |
| Phone | 7275077100 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME82894 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LITTLE, MICHAEL G | Agent | 911 CHESTNUT STREET, CLEARWATER, FL 33756 |
| Name | Role | Address |
|---|---|---|
| FRANCO, CHRISTINA A | Manager | 34754 US HWY 19 N, PALM HARBOR, FL 34684 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000096192 | ESSENTIAL WELLNESS MEDICINE | EXPIRED | 2010-10-20 | 2015-12-31 | No data | 34754 US HIGHWAY 19 N, PALM HARBOR, FL, 34684 |
| G09000161933 | CROWNPOINT FAMILY PRACTICE | EXPIRED | 2009-10-05 | 2014-12-31 | No data | 13191 STARKEY ROAD, SUITE 3, LARGO, FL, 33773 |
| G09000156085 | CROWNPOINT FAMILY PRACTICE AND BARIATRIC MEDICINE | EXPIRED | 2009-09-16 | 2014-12-31 | No data | 13191 STARKEY ROAD, SUITE 3, LARGO, FL, 33773 |
| G09000152182 | CROWN POINT FAMILY PRACTICE AND BARIATRIC MEDICINE | EXPIRED | 2009-09-03 | 2014-12-31 | No data | 13191 STARKEY ROAD, SUITE 3, LARGO, FL, 33773 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2014-01-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-11-12 | 34754 US HWY. 19, N., PALM HARBOR, FL 34684 | No data |
| CHANGE OF MAILING ADDRESS | 2010-11-12 | 34754 US HWY. 19, N., PALM HARBOR, FL 34684 | No data |
| LC AMENDMENT | 2009-10-09 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2014-01-24 |
| ANNUAL REPORT | 2013-01-28 |
| ANNUAL REPORT | 2012-02-16 |
| ANNUAL REPORT | 2011-01-06 |
| ADDRESS CHANGE | 2010-11-12 |
| ANNUAL REPORT | 2010-03-01 |
| LC Amendment | 2009-10-09 |
| Florida Limited Liability | 2009-08-13 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
