| Entity Name: | LIVE WELL MEDICAL SERVICES, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 20 Aug 2013 (11 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: | L13000117538 |
| Address: | 1409 KINGSLEY AVE BLDG#2, ORANGE PARK, FL 32073 |
| Mail Address: | 1409 KINGSLEY AVE BLDG#2, ORANGE PARK, FL 32073 |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932537776 | 2013-10-14 | 2013-10-14 | 1409 KINGSLEY AVE, BUILDING 2, ORANGE PARK, FL, 320734537, US | 1409 KINGSLEY AVE, BUILDING 2, ORANGE PARK, FL, 320734537, US | |||||||||||||||
|
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| Phone | +1 904-621-8043 |
| Fax | 9046218068 |
Authorized person
| Name | MICHELLE CARTER |
| Role | MANAGER |
| Phone | 9046218043 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BERNARD, GARY C | Agent | 1409 KINSLEY AVE, BLDG #2, ORANGE PARK, FL 32073 |
| Name | Role | Address |
|---|---|---|
| BERNARD, GARY C | Manager | 1409 KINGSLEY AVE BLDG#2, ORANGE PARK, FL 32073 |
| SMITH, ALLEN | Manager | 2561 CR 220, STE#306, MIDDLEBURG, FL 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2013-08-20 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
