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THE BREVARD WELLNESS CENTER LLC

Company Details

Entity Name: THE BREVARD WELLNESS CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Jul 2014 (11 years ago)
Document Number: L14000115400
FEI/EIN Number 47-1413780
Address: 436 BAHIA COURT NW, PALM BAY, FL, 32907, US
Mail Address: 436 BAHIA COURT NW, PALM BAY, FL, 32907, US
ZIP code: 32907
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689059891 2015-07-29 2015-07-29 436 BAHIA CT NW, PALM BAY, FL, 329078700, US 466 N HARBOR CITY BLVD, MELBOURNE, FL, 329356858, US

Contacts

Phone +1 321-610-8935

Authorized person

Name DR. CHRISTOPHER BICKFORD
Role PRESIDENT
Phone 3216108935

Taxonomy

Taxonomy Code 171100000X - Acupuncturist
License Number AP855
State FL
Is Primary Yes

Agent

Name Role Address
BICKFORD CHRISTOPHER Agent 436 BAHIA COURT NW, PALM BAY, FL, 32907

Managing Member

Name Role Address
BICKFORD CHRISTOPHER Managing Member 436 BAHIA COURT NW, PALM BAY, FL, 32907

President

Name Role Address
BICKFORD CHRISTOPHER President 436 BAHIA COURT NW, PALM BAY, FL, 32907

Vice President

Name Role Address
BICKFORD JANETTE Vice President 436 BAHIA COURT NW, PALM BAY, FL, 32907

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000103745 SPACE COAST WELLNESS CENTER ACTIVE 2021-08-10 2026-12-31 No data 436 BAHIA COURT NW, PALM BAY, FL, 32907
G14000076610 SPACE COAST WELLNESS CENTER EXPIRED 2014-07-24 2019-12-31 No data 436 BAHIA COURT NW, PALM BAY, FL, 32907

Documents

Name Date
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-03-27
ANNUAL REPORT 2021-03-05
ANNUAL REPORT 2020-02-25
ANNUAL REPORT 2019-08-05
ANNUAL REPORT 2018-02-22
ANNUAL REPORT 2017-03-08
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-03-02

Date of last update: 01 Feb 2025

Sources: Florida Department of State