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GENESIS BODYWORK LLC

Company Details

Entity Name: GENESIS BODYWORK LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 26 Jan 2012 (13 years ago)
Date of dissolution: 23 Mar 2017 (8 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 23 Mar 2017 (8 years ago)
Document Number: L12000012969
FEI/EIN Number 45-4424532
Address: 4075 A1A SOUTH SUITE 105, ST. AUGUSTINE, FL, 32080
Mail Address: 4075 A1A SOUTH SUITE 105, ST. AUGUSTINE, FL, 32080
ZIP code: 32080
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457485344 2007-03-15 2012-02-02 4075 A1A S, SUITE 105, ST AUGUSTINE, FL, 320806773, US 4075 A1A S, SUITE 105, ST AUGUSTINE, FL, 320806773, US

Contacts

Phone +1 904-471-2999
Fax 9044711722

Authorized person

Name MRS. TAMMY LOUISE LAGASSE
Role OWNER
Phone 9044712999

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role Address
LAGASSE TAMMY L Agent 6880 MIDDLETON AVE, ST AUGUSTINE, FL, 32080

Manager

Name Role Address
LAGASSE TAMMY L Manager 6880 MIDDLETON AVE., ST AUGUSTINE, FL, 32080

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-01 4075 A1A SOUTH SUITE 105, ST. AUGUSTINE, FL 32080 No data
CHANGE OF MAILING ADDRESS 2025-01-01 4075 A1A SOUTH SUITE 105, ST. AUGUSTINE, FL 32080 No data
CHANGE OF PRINCIPAL ADDRESS 2024-01-01 4075 A1A SOUTH SUITE 105, ST. AUGUSTINE, FL 32080 No data
CHANGE OF MAILING ADDRESS 2024-01-01 4075 A1A SOUTH SUITE 105, ST. AUGUSTINE, FL 32080 No data
VOLUNTARY DISSOLUTION 2017-03-23 No data No data

Documents

Name Date
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-01-26
ANNUAL REPORT 2014-04-28
ANNUAL REPORT 2013-04-24
Florida Limited Liability 2012-01-26

Date of last update: 03 Feb 2025

Sources: Florida Department of State