| Entity Name: | FUNCTIONAL HEALING AND WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 04 Jun 2015 (10 years ago) |
| Date of dissolution: | 18 Jan 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 18 Jan 2017 (8 years ago) |
| Document Number: | L15000098145 |
| FEI/EIN Number | 47-4464517 |
| Address: | 4290 PROFESSIONAL CENTER DRIVE, SUITE 303, PALM BEACH GARDENS, FL 33410 |
| Mail Address: | 4290 PROFESSIONAL CENTER DRIVE, SUITE 303, PALM BEACH GARDENS, FL 33410 |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710345673 | 2016-02-08 | 2016-02-08 | 4290 PROFESSIONAL CENTER DR, 303, PALM BEACH GARDENS, FL, 334104275, US | 4290 PROFESSIONAL CENTER DR, 303, PALM BEACH GARDENS, FL, 334104275, US | |||||||||||||||||
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| Phone | +1 561-877-0999 |
Authorized person
| Name | DR. CARLA PALACIOS |
| Role | CHIROPRACTOR |
| Phone | 5618770999 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH11471 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PALACIOS, CARLA | Agent | 5204 Cambridge court, PALM BEACH gardens, FL 33418 |
| Name | Role | Address |
|---|---|---|
| PALACIOS, CARLA | Authorized Member | 4290 PROFESSIONAL CENTER DRIVE, SUITE 303, PALM BEACH GARDENS, FL 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-01-18 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-29 | 5204 Cambridge court, PALM BEACH gardens, FL 33418 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-29 |
| Florida Limited Liability | 2015-06-04 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
