| Entity Name: | FLORIDA WELLNESS INSTITUTE OF PINELLAS COUNTY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 03 Apr 2014 (11 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L14000055108 |
| FEI/EIN Number | 46-5659891 |
| Address: | 2701 Park Dr #5, CLEARWATER, FL 33763 |
| Mail Address: | 2701 Park Dr #5, CLEARWATER, FL 33763 |
| ZIP code: | 33763 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821401191 | 2014-06-04 | 2014-06-04 | 1000 S FORT HARRISON AVE, SUITE A, CLEARWATER, FL, 337563906, US | 1000 S FORT HARRISON AVE, SUITE A, CLEARWATER, FL, 337563906, US | |||||||||||||||||||
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| Phone | +1 727-449-2008 |
| Fax | 7274491499 |
Authorized person
| Name | DR. JAMES WILLIAM GATZA |
| Role | MANAGER |
| Phone | 7274492008 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME 86204 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MEYER, ALBERT R | Agent | 200 KNUTH RD, SUITE 101, BOYNTON BEACH, FL 33436 |
| Name | Role | Address |
|---|---|---|
| GATZA, JAMES | Manager | 2701 Park Dr #5, CLEARWATER, FL 33763 |
| GATZA, JULIE | Manager | 2701 Park Dr #5, CLEARWATER, FL 33763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-18 | 2701 Park Dr #5, CLEARWATER, FL 33763 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-18 | 2701 Park Dr #5, CLEARWATER, FL 33763 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-14 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-02-25 |
| Florida Limited Liability | 2014-04-03 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
