| Entity Name: | MIND, BODY & MODERN MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MIND, BODY & MODERN MEDICINE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 06 Oct 2014 (11 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | L14000156147 |
| FEI/EIN Number |
47-2100167
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8306 Aquila St, PORT RICHEY, FL, 34668, US |
| Mail Address: | 8306 Aquila St, PORT RICHEY, FL, 34668, US |
| ZIP code: | 34668 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912302787 | 2014-10-23 | 2014-10-23 | 8341 CAROLYN DR, PORT RICHEY, FL, 346686210, US | 19401 SHUMARD OAK DR, CLARITY MEDSPA, LAND O'LAKES, FL, 34638, US | |||||||||||||||||
|
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| Phone | +1 727-264-1364 |
Authorized person
| Name | MS. FAITH I BEVAN |
| Role | MANAGER |
| Phone | 7279923440 |
Taxonomy
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| License Number | 9101970 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BEVAN FAITH MS,PA-C | Manager | 8306 Aquila St, PORT RICHEY, FL, 34668 |
| BEVAN FAITH MS,PA-C | Agent | 8306 Aquila St, PORT RICHEY, FL, 34668 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000124353 | MIND, BODY & MODERN MEDICINE | EXPIRED | 2014-12-11 | 2019-12-31 | - | 8341 CAROLYN DR., PORT RICHEY, FL, 34668 |
| G14000124356 | MBMMED | EXPIRED | 2014-12-11 | 2019-12-31 | - | 8341 CAROLYN DR., PORT RICHEY, FL, 34668 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-29 | 8306 Aquila St, PORT RICHEY, FL 34668 | - |
| CHANGE OF MAILING ADDRESS | 2020-02-29 | 8306 Aquila St, PORT RICHEY, FL 34668 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-29 | 8306 Aquila St, PORT RICHEY, FL 34668 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-02-29 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-07-05 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-03-11 |
| ANNUAL REPORT | 2015-03-23 |
| Florida Limited Liability | 2014-10-06 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
