Entity Name: | CENTER FOR WELLNESS & FAMILY HEALTH, L.L.C |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 08 Jun 2016 (9 years ago) |
Date of dissolution: | 28 Sep 2018 (6 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 28 Sep 2018 (6 years ago) |
Document Number: | L16000110757 |
FEI/EIN Number | 81-3048762 |
Mail Address: | 1914 PASSIFLORA LANE, SAINT CLOUD, FL, 34771 |
Address: | 1914 Passifloria lane, SAINT CLOUD, FL, 34771, US |
ZIP code: | 34771 |
County: | Osceola |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1750730024 | 2016-06-08 | 2016-09-06 | PO BOX 4100, BARBOURSVILLE, WV, 255044100, US | 523 13TH ST, 4808/577 UNIT A, SAINT CLOUD, FL, 347694501, US | |||||||||||||||||||||||
|
Phone | +1 304-955-6200 |
Fax | 3043992526 |
Phone | +1 407-846-8600 |
Fax | 4078462301 |
Authorized person
Name | YVONNE BOSTON |
Role | OWNER |
Phone | 4078468600 |
Taxonomy
Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
License Number | 9244881 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BOSTON YVONNE V | Agent | 1914 PASSIFLORA LN, SAINT CLOUD, FL, 34771 |
Name | Role | Address |
---|---|---|
BOSTON Shavone M | Manager | 1566 SOFTSHELL STREET, SAINT CLOUD, FL, 34771 |
Name | Role | Address |
---|---|---|
BOSTON TERENCE J | Authorized Manager | 1914 PASSIFLORA LN, SAINT CLOUD, FL, 34771 |
Name | Role | Address |
---|---|---|
boston yvonne v | President | 1914 Passiflora Lane, Saint Cloud, FL, 34771 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2017-04-27 | 1914 Passifloria lane, SAINT CLOUD, FL 34771 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2017-04-27 |
Florida Limited Liability | 2016-06-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State