| Entity Name: | EASY TO BREATHE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Feb 2013 (12 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L13000026197 |
| Address: | 547 NE LAKE DRIVE, LAKE CITY, FL, 32055, US |
| Mail Address: | P O BOX 1952, LAKE CITY, FL, 32056, US |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457784746 | 2013-08-09 | 2013-08-09 | PO BOX 1952, LAKE CITY, FL, 320561952, US | 547 NE LAKE DR, LAKE CITY, FL, 320553446, US | |||||||||||||||||||||||||
|
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| Phone | +1 386-288-3990 |
| Fax | 3864385493 |
Authorized person
| Name | MRS. DORENDA MIDDLETON |
| Role | MANAGER/OWNER |
| Phone | 3862883990 |
Taxonomy
| Taxonomy Code | 305S00000X - Point of Service |
| License Number | TT |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 005972000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MIDDLETON DORENDA M | Agent | 547 NE LAKE DRIVE, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| MIDDLETON DORENDA M | Manager | 547 NE LAKE DRIVE, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| MIDDLETON SIMON A | Managing Member | 547 NE LAKE DRIVE, LAKE CITY, FL, 32055 |
| DAVIS MICHELLE N | Managing Member | 2100 APALACHEE PARKWAY APT # 9F, TALLAHASSEE, FL, 32301 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2013-02-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
