Entity Name: | ALONSO MEDICAL AND WELLNESS INSTITUTE LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 26 Dec 2014 (10 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 16 Oct 2018 (6 years ago) |
Document Number: | L14000195319 |
FEI/EIN Number | 47-2703557 |
Address: | 1090 West State Road 436, Altamonte Springs, FL 32714 |
Mail Address: | 1090 West State Road 436, Altamonte Springs, FL 32714 |
ZIP code: | 32714 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1154712917 | 2015-02-13 | 2015-02-17 | 1090 W STATE ROAD 436, ALTAMONTE SPRINGS, FL, 327142921, US | 1090 W STATE ROAD 436, ALTAMONTE SPRINGS, FL, 327142921, US | |||||||||||||||||||
|
Phone | +1 407-869-1030 |
Fax | 4078691025 |
Authorized person
Name | MRS. LUZ A ALONSO |
Role | OWNER/PHYSICIAN |
Phone | 4078691030 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | ME97551 |
State | FL |
Is Primary | Yes |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ALONSO MEDICAL AND WELLNESS INSTITUTE LLC 401K | 2019 | 472703557 | 2022-03-04 | ALONSO MEDICAL AND WELLNESS INSTITUTE LLC | 8 | |||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2022-03-04 |
Name of individual signing | WENDI MCCRACKEN |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
ALONSO, LUZ A | Agent | 155 HARSTON CT, LAKE MARY, FL 32746 |
Name | Role | Address |
---|---|---|
ALONSO, KENNETH A | Manager | 155 HARSTON CT, LAKE MARY, FL 32746 |
Alonso, Luz A | Manager | 155 HARSTON CT, LAKE MARY, FL 32746 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G15000037410 | ALONSO MEDICAL AND WELLNESS CENTER | EXPIRED | 2015-04-14 | 2020-12-31 | No data | 1090 W. STATE ROAD 436, ALTAMONTE SPRINGS, FL, 32714 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2018-10-16 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2018-10-16 | ALONSO, LUZ A | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2016-05-01 | 1090 West State Road 436, Altamonte Springs, FL 32714 | No data |
CHANGE OF MAILING ADDRESS | 2016-05-01 | 1090 West State Road 436, Altamonte Springs, FL 32714 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-27 |
ANNUAL REPORT | 2023-03-30 |
ANNUAL REPORT | 2022-04-06 |
ANNUAL REPORT | 2021-01-26 |
ANNUAL REPORT | 2020-01-28 |
ANNUAL REPORT | 2019-02-11 |
REINSTATEMENT | 2018-10-16 |
ANNUAL REPORT | 2017-05-28 |
ANNUAL REPORT | 2016-05-01 |
ANNUAL REPORT | 2015-01-07 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State