| Entity Name: | FOOTPRINTS ON THE MOON MASSAGE AND BODYWORK, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Apr 2014 (11 years ago) |
| Document Number: | L14000060867 |
| FEI/EIN Number | 46-5369493 |
| Address: | 1312 ILLINOIS AVENUE, SUITE E, ST. CLOUD, FL, 34769 |
| Mail Address: | 1421 California Ave, ST. CLOUD, FL, 34769, US |
| ZIP code: | 34769 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760898506 | 2014-07-01 | 2014-07-01 | 1312 ILLINOIS AVE, SUITE E, SAINT CLOUD, FL, 347694506, US | 1312 ILLINOIS AVE, SUITE E, SAINT CLOUD, FL, 347694506, US | |||||||||||||||||
|
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| Phone | +1 407-436-2122 |
Authorized person
| Name | SAMANTHA JO FAGNANT |
| Role | OWNER/THERAPIST |
| Phone | 4074362122 |
Taxonomy
| Taxonomy Code | 225700000X - Massage Therapist |
| License Number | MM32405 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FAGNANT SAMANTHA | Agent | 1312 ILLINOIS AVENUE, ST. CLOUD, FL, 34769 |
| Name | Role | Address |
|---|---|---|
| FAGNANT SAMANTHA | Authorized Member | 1312 ILLINOIS AVENUE, SUITE E, ST. CLOUD, FL, 34769 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-24 | 1312 ILLINOIS AVENUE, SUITE E, ST. CLOUD, FL 34769 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-13 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-03-26 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
