| Entity Name: | M.D. WEIGHT LOSS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Nov 2010 (14 years ago) |
| Date of dissolution: | 04 Mar 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 04 Mar 2016 (9 years ago) |
| Document Number: | L10000118099 |
| FEI/EIN Number | 273985394 |
| Mail Address: | C/O JOHN M. WICKER, P.A., P.O. DRAWER 60205, FORT MYERS, FL, 33906 |
| Address: | 12670 NEW BRITTANY BLVD., SUITE 101, FORT MYERS, FL, 33907 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093144578 | 2013-11-05 | 2013-11-12 | 8450 COOPER CREEK BLVD STE 102, UNIVERSITY PARK, FL, 342012018, US | 8450 COOPER CREEK BLVD STE 102, UNIVERSITY PARK, FL, 342012018, US | |||||||||||||
|
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| Phone | +1 941-355-5677 |
Authorized person
| Name | DUSTIN DAVIS |
| Role | OWNER |
| Phone | 9413555677 |
Taxonomy
| Taxonomy Code | 207QB0002X - Obesity Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WICKER JOHN M | Agent | 12670 NEW BRITTANY BLVD., SUITE 101, FORT MYERS, FL, 33907 |
| Name | Role | Address |
|---|---|---|
| MITCHELL B | Managing Member | 12670 NEW BRITTANY BLVD., SUITE 101, FORT MYERS, FL, 33907 |
| DAVIS D | Managing Member | 12670 NEW BRITTANY BLVD., SUITE 101, FORT MYERS, FL, 33907 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000062078 | NUVIVA MEDICAL WEIGHT LOSS | EXPIRED | 2012-06-21 | 2017-12-31 | No data | 8450 COOPER CREEK BLVD, SUITE 102, UNIVERSITY PARK, FL, 34201 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-03-04 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-19 | 12670 NEW BRITTANY BLVD., SUITE 101, FORT MYERS, FL 33907 | No data |
| LC AMENDMENT | 2011-01-26 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-03-04 |
| ANNUAL REPORT | 2015-03-30 |
| ANNUAL REPORT | 2014-04-14 |
| ANNUAL REPORT | 2013-04-26 |
| ANNUAL REPORT | 2012-04-24 |
| ANNUAL REPORT | 2011-04-19 |
| LC Amendment | 2011-01-26 |
| Florida Limited Liability | 2010-11-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
