| Entity Name: | LIVE WELL MEDICAL CENTERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 04 Feb 2013 (12 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L13000017147 |
| FEI/EIN Number | 46-1940804 |
| Address: | 3105 Bishop Estates Rd., St. Johns, FL, 32259, US |
| Mail Address: | 3105 Bishop Estates Rd., St. Johns, FL, 32259, US |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982946943 | 2013-03-18 | 2018-04-16 | 6001 VINELAND RD., SUITE 117, ORLANDO, FL, 32819, US | 6001 VINELAND RD., SUITE 117, ORLANDO, FL, 32819, US | |||||||||||||||||||
|
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| Phone | +1 407-455-6925 |
| Fax | 4074556924 |
Authorized person
| Name | MARIA J PUCCI |
| Role | PRESIDENT/MEMBER |
| Phone | 4074556925 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | ME0069445 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PUCCI MARIA | Agent | 3105 Bishop Estates Rd., St. Johns, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| Kirkland Timothy | Vice President | 6266 N.W. CR 233, Starke, FL, 32091 |
| Name | Role | Address |
|---|---|---|
| Pucci Maria | Secretary | 3105 Bishop Estates Road, St. Johns, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| Pucci Maria | President | 3105 Bishop Estates Rd., St. Johns, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-09-26 | PUCCI, MARIA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-09-26 | 3105 Bishop Estates Rd., St. Johns, FL 32259 | No data |
| LC STMNT OF RA/RO CHG | 2016-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-03 | 3105 Bishop Estates Rd., St. Johns, FL 32259 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-03 | 3105 Bishop Estates Rd., St. Johns, FL 32259 | No data |
| LC AMENDMENT | 2013-09-25 | No data | No data |
| LC AMENDMENT | 2013-04-11 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-04-29 |
| CORLCRACHG | 2016-09-26 |
| Reg. Agent Resignation | 2016-06-22 |
| ANNUAL REPORT | 2016-03-03 |
| AMENDED ANNUAL REPORT | 2015-07-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
