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OMNI NUTRITION LLC

Company Details

Entity Name: OMNI NUTRITION LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Jun 2013 (12 years ago)
Document Number: L13000085900
FEI/EIN Number 46-3017411
Address: 3126 Tamarind Dive, Edgewater, FL, 32141, US
Mail Address: 3126 Tamarind Dive, Edgewater, FL, 32141, US
ZIP code: 32141
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104363605 2017-01-23 2017-01-23 3588 OMNI CIR, EDGEWATER, FL, 32141, US 3588 OMNI CIR, EDGEWATER, FL, 321417114, US

Contacts

Phone +1 386-968-2170

Authorized person

Name LARA CLEVENGER
Role REGISTERED DIETITIAN
Phone 3869682170

Taxonomy

Taxonomy Code 133V00000X - Registered Dietitian
License Number ND6015
State FL
Is Primary Yes

Agent

Name Role Address
Clevenger Elynn Agent 3126 Tamarind Dive, Edgewater, FL, 32141

Managing Member

Name Role Address
CLEVENGER LARA L Managing Member 3126 Tamarind Dive, Edgewater, FL, 32141

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000117872 LARA CLEVENGER REGISTERED DIETITIAN NUTRITIONIST EXPIRED 2016-10-31 2021-12-31 No data 3588 OMNI CIRCLE, EDGEWATER, FL, 32141

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-04-18 Clevenger, Elynn No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-18 3126 Tamarind Dive, Edgewater, FL 32141 No data
CHANGE OF PRINCIPAL ADDRESS 2021-04-07 3126 Tamarind Dive, Edgewater, FL 32141 No data
CHANGE OF MAILING ADDRESS 2021-04-07 3126 Tamarind Dive, Edgewater, FL 32141 No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-03-25
ANNUAL REPORT 2022-04-18
Reg. Agent Change 2022-01-10
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-04-27
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-04-13

Date of last update: 01 Feb 2025

Sources: Florida Department of State