| Entity Name: | SOMERVILLE HEALTH AND WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Jan 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L12000008221 |
| FEI/EIN Number | 45-4333679 |
| Address: | 2324 S. Congress Ave, Suite 1-J, West Palm Beach, FL, 33406, US |
| Mail Address: | 3033 23rd Ave S, Unit D, Fargo, ND, 58103, US |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053656702 | 2012-12-06 | 2012-12-06 | 2324 S CONGRESS AVE STE 1J, WEST PALM BEACH, FL, 334067667, US | 2324 S CONGRESS AVE STE 1J, WEST PALM BEACH, FL, 334067667, US | |||||||||||||||||||
|
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| Phone | +1 561-965-8665 |
Authorized person
| Name | LAURIE SOMERVILLE |
| Role | OWNER |
| Phone | 5619658665 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 3815650-00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SOMERVILLE LAURIE | Agent | 3033 23rd Ave S, Unit D, Fargo, FL, 58103 |
| Name | Role | Address |
|---|---|---|
| Somerville Laurie | Manager | 3033 23rd Ave S, Unit D, Fargo, ND, 58103 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-28 | 2324 S. Congress Ave, Suite 1-J, West Palm Beach, FL 33406 | No data |
| CHANGE OF MAILING ADDRESS | 2018-02-28 | 2324 S. Congress Ave, Suite 1-J, West Palm Beach, FL 33406 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-02-28 | 3033 23rd Ave S, Unit D, Fargo, FL 58103 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-02-20 |
| ANNUAL REPORT | 2015-01-15 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-13 |
| Florida Limited Liability | 2012-01-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
