| Entity Name: | ACUPUNCTURE OF TRADITION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Mar 2016 (9 years ago) |
| Document Number: | L16000049419 |
| FEI/EIN Number | 81-1797045 |
| Address: | 1430 St Lucie West Blvd., SUITE 103, PORT ST LUCIE, FL 34986 |
| Mail Address: | 1430 St Lucie West Blvd., SUITE 103, PORT ST LUCIE, FL 34986 |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487016358 | 2016-03-22 | 2016-03-22 | 10050 SW INNOVATION WAY, SUITE 201, PORT ST LUCIE, FL, 349872117, US | 10050 SW INNOVATION WAY, SUITE 201, PORT ST LUCIE, FL, 349872117, US | |||||||||||||||||||||||||
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| Phone | +1 772-879-8700 |
| Fax | 7728798710 |
Authorized person
| Name | MRS. ALMA GOLDSTEIN |
| Role | OWNER |
| Phone | 7728798700 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP2064 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1013067024 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MANALASTAS, RALPH | Agent | 11228 SW STOCKTON PLACE, PORT ST LUCIE, FL 34987 |
| Name | Role | Address |
|---|---|---|
| GOLDSTEIN, ALMA | Manager | 11228 SW STOCKTON PLACE, PORT ST LUCIE, FL 34987 |
| Name | Role | Address |
|---|---|---|
| MANALASTAS, RALPH | Authorized Representative | 11228 SW STOCKTON PLACE, PORT ST LUCIE, FL 34987 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-27 | 1430 St Lucie West Blvd., SUITE 103, PORT ST LUCIE, FL 34986 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-27 | 1430 St Lucie West Blvd., SUITE 103, PORT ST LUCIE, FL 34986 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-23 |
| Florida Limited Liability | 2016-03-09 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
