| Entity Name: | HOLISTIC FAMILY & PAIN MANAGEMENT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Feb 2010 (15 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | L10000022104 |
| FEI/EIN Number | 271484962 |
| Address: | 1846 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 34952-5545, US |
| Mail Address: | PO BOX 881591, PORT ST LUCIE, FL, 34988-1591 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003145301 | 2009-12-15 | 2009-12-15 | 1905 S 25TH ST, STE100, FORT PIERCE, FL, 349474739, US | 1905 S 25TH ST, STE100, FORT PIERCE, FL, 349474739, US | |||||||||||||||||||
|
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| Phone | +1 772-467-9083 |
| Fax | 7724646478 |
Authorized person
| Name | DR. WILLIAM G TYE III |
| Role | OWNER |
| Phone | 7724679083 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME91383 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TYE REBECCA A | Agent | 1905 SO 25TH STREET, FORT PIERCE, FL, 34947 |
| Name | Role | Address |
|---|---|---|
| TYE REBECCA A | Managing Member | 1905 SO 25TH STREET, SUITE 100, FORT PIERCE, FL, 349474739 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| LC AMENDMENT | 2010-10-25 | No data | No data |
| LC AMENDMENT | 2010-05-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-05-10 | 1846 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5545 | No data |
| CHANGE OF MAILING ADDRESS | 2010-05-10 | 1846 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5545 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2010-10-25 |
| LC Amendment | 2010-05-10 |
| Florida Limited Liability | 2010-02-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
