| Entity Name: | WILLISTON RURAL HEALTH AND WELLNESS CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Jan 2012 (13 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L12000012723 |
| FEI/EIN Number | 454407725 |
| Mail Address: | 1835 NE MIAMI GARDENS DRIVE, #368, NORTH MIAMI BEACH, FL, 33179, US |
| Address: | 300 NW FIRST AVENUE, WILLISTON, FL, 32696, US |
| ZIP code: | 32696 |
| County: | Levy |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538435375 | 2012-03-27 | 2013-10-10 | 300 NW 1ST AVE, WILLISTON, FL, 326962006, US | 300 NW 1ST AVE, WILLISTON, FL, 326962006, US | |||||||||||||||
|
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| Phone | +1 352-529-0966 |
| Fax | 3525290967 |
Authorized person
| Name | MR. SIDNEY ERNEST CLEVINGER |
| Role | MEDICAL DIRECTOR |
| Phone | 3522667075 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| WILLISTONREHABILITATION&NURSING CENTER LLC | Managing Member | 300 NW FIRST AVENUE, WILLISTON, FL, 32696 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-28 |
| ANNUAL REPORT | 2013-04-17 |
| Florida Limited Liability | 2012-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
