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  5. HEALTHY LIVING CLINIC LLC

HEALTHY LIVING CLINIC LLC

Company Details

Entity Name: HEALTHY LIVING CLINIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Aug 2012 (12 years ago)
Document Number: L12000112530
FEI/EIN Number 46-0738665
Address: 1300 Florida Avenue S, Rockledge, FL, 32955, US
Mail Address: 1300 Florida Avenue, S, Rockledge, FL, 32955, US
ZIP code: 32955
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811246481 2012-08-29 2024-10-17 1300 FLORIDA AVE S, ROCKLEDGE, FL, 329552482, US 1300 FLORIDA AVE S, ROCKLEDGE, FL, 329552482, US

Contacts
Phone +1 321-549-2273
Fax 3215492066

Authorized person
Name ERICH A ARIAS
Role PHYSICIAN
Phone 3215492273

Taxonomy
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number ME 101986
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEALTHY LIVING CLINIC LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 460738665 2023-04-09 HEALTHY LIVING CLINIC LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3215492273
Plan sponsor’s address 1300 FLORIDA AVE S, STE B, ROCKLEDGE, FL, 329552482

Signature of
Role Plan administrator
Date 2023-04-09
Name of individual signing ERICH ARIAS
Valid signature Filed with authorized/valid electronic signature
HEALTHY LIVING CLINIC LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 460738665 2022-04-12 HEALTHY LIVING CLINIC LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3215492273
Plan sponsor’s address 1300 FLORIDA AVE S, STE B, ROCKLEDGE, FL, 329552482

Signature of
Role Plan administrator
Date 2022-04-12
Name of individual signing ERICH ARIAS
Valid signature Filed with authorized/valid electronic signature
HEALTHY LIVING CLINIC LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 460738665 2021-04-06 HEALTHY LIVING CLINIC LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3215492273
Plan sponsor’s address 1300 FLORIDA AVE S, STE B, ROCKLEDGE, FL, 329552482

Signature of
Role Plan administrator
Date 2021-04-06
Name of individual signing ERICH ARIAS
Valid signature Filed with authorized/valid electronic signature
HEALTHY LIVING CLINIC LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 460738665 2020-09-09 HEALTHY LIVING CLINIC LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3215492273
Plan sponsor’s address 1300 FLORIDA AVE S, STE B, ROCKLEDGE, FL, 329552482

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing ERICH ARIAS
Valid signature Filed with authorized/valid electronic signature
HEALTHY LIVING CLINIC LLC 401(K) PROFIT SHARING PLAN & TRUST 2018 460738665 2020-09-09 HEALTHY LIVING CLINIC LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3215492273
Plan sponsor’s address 1300 FLORIDA AVE S, STE B, ROCKLEDGE, FL, 329552482

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing ERICH ARIAS
Valid signature Filed with authorized/valid electronic signature
HEALTHY LIVING CLINIC LLC 401 K PROFIT SHARING PLAN TRUST 2017 460738665 2018-06-14 HEALTHY LIVING CLINIC LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3215492273
Plan sponsor’s address 1300 FLORIDA AVE S STE B, ROCKLEDGE, FL, 329552482

Signature of
Role Plan administrator
Date 2018-06-14
Name of individual signing ERICH ARIAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ARIAS ERICH Agent 1300 Florida Avenue S, Rockledge, FL, 32955

Manager

Name Role Address
ARIAS ERICH Manager 1300 Florida Avenue S, Rockledge, FL, 32955

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000168395 ACUTE CARE SPOT ACTIVE 2021-12-20 2026-12-31 No data 1300 FLORIDA AVENUE S, ROCKLEDGE, FL, 32955

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-01-28 1300 Florida Avenue S, Rockledge, FL 32955 No data
CHANGE OF PRINCIPAL ADDRESS 2018-05-18 1300 Florida Avenue S, A, Rockledge, FL 32955 No data
CHANGE OF MAILING ADDRESS 2018-05-18 1300 Florida Avenue S, A, Rockledge, FL 32955 No data

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-02-03
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-07-30
ANNUAL REPORT 2018-05-18
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-08-01
ANNUAL REPORT 2015-03-06

Related by officers

ARIAS ERICH

HEALTHY LIVING MEDICAL GROUP, LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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