| Entity Name: | EB-WELLNESS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 May 2014 (11 years ago) |
| Date of dissolution: | 07 Jun 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Jun 2022 (3 years ago) |
| Document Number: | L14000084717 |
| FEI/EIN Number | 465697520 |
| Address: | 551 HONEY BLOSSOM RD, ST JOHNS, FL, 32259, US |
| Mail Address: | 551 HONEY BLOSSOM RD, ST JOHNS, FL, 32259, US |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992150296 | 2016-04-25 | 2016-04-25 | 13720 OLD SAINT AUGUSTINE RD, STE 8-260, JACKSONVILLE, FL, 322587414, US | 13720 OLD SAINT AUGUSTINE RD, STE 8-260, JACKSONVILLE, FL, 322587414, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 904-513-8892 |
Authorized person
| Name | MRS. ELAINE ANN BEVILLE |
| Role | AUTHORIZED MEMBER |
| Phone | 9045138892 |
Taxonomy
| Taxonomy Code | 133N00000X - Nutritionist |
| License Number | ND 5679 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 133NN1002X - Nutrition Education Nutritionist |
| License Number | ND 5679 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 133V00000X - Registered Dietitian |
| License Number | ND 5679 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 133VN1006X - Metabolic Nutrition Registered Dietitian |
| License Number | ND 5679 |
| State | FL |
| Is Primary | No |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| BEVILLE ELAINE | Authorized Member | 551 HONEY BLOSSOM RD, ST JOHNS, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-06-07 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-04 | 7901 4TH ST N, SUITE 36, STE 300, ST PETERSBURG, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-08-20 | 551 HONEY BLOSSOM RD, ST JOHNS, FL 32259 | No data |
| CHANGE OF MAILING ADDRESS | 2020-08-20 | 551 HONEY BLOSSOM RD, ST JOHNS, FL 32259 | No data |
| LC STMNT OF RA/RO CHG | 2020-06-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-24 | REGISTERED AGENTS INC. | No data |
| LC STMNT OF RA/RO CHG | 2017-07-20 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-06-07 |
| ANNUAL REPORT | 2022-01-07 |
| ANNUAL REPORT | 2021-01-04 |
| CORLCRACHG | 2020-06-24 |
| ANNUAL REPORT | 2020-01-12 |
| ANNUAL REPORT | 2019-01-06 |
| ANNUAL REPORT | 2018-01-14 |
| CORLCRACHG | 2017-07-20 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-01-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
