| Entity Name: | HOLISTIC WILL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Oct 2015 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L15000179645 |
| FEI/EIN Number | 47-5482318 |
| Address: | 19093 STREAMSIDE COURT, BOCA RATON, FL, 33498, US |
| Mail Address: | 19093 STREAMSIDE COURT, BOCA RATON, FL, 33498, US |
| ZIP code: | 33498 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962865048 | 2016-04-05 | 2016-04-05 | 2500 QUANTUM LAKES DR STE 212, BOYNTON BEACH, FL, 334268308, US | 2500 QUANTUM LAKES DR STE 212, BOYNTON BEACH, FL, 334268308, US | |||||||||||||||||
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| Phone | +1 561-223-6200 |
| Fax | 5612236250 |
Authorized person
| Name | KELI KORNMILLER |
| Role | SENIOR CREDENTIALING SPECIALIST |
| Phone | 5616728345 |
Taxonomy
| Taxonomy Code | 261QR0800X - Recovery Care Clinic/Center |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DARWESH FATHY | Agent | 19093 STREAMSIDE CT, BOCA RATON, FL, 33498 |
| Name | Role | Address |
|---|---|---|
| DARWESH FATHY | Manager | 19093 STREAMSIDE CT, BOCA RATON, FL, 33498 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-05-01 | 19093 STREAMSIDE COURT, BOCA RATON, FL 33498 | No data |
| CHANGE OF MAILING ADDRESS | 2018-05-01 | 19093 STREAMSIDE COURT, BOCA RATON, FL 33498 | No data |
| REINSTATEMENT | 2016-10-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-21 | DARWESH, FATHY | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-01-08 |
| REINSTATEMENT | 2016-10-21 |
| Florida Limited Liability | 2015-10-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
