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LANE FAMILY WELLNESS CENTER, LLC

Company Details

Entity Name: LANE FAMILY WELLNESS CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 26 Jul 2016 (8 years ago)
Date of dissolution: 29 Apr 2024 (9 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 29 Apr 2024 (9 months ago)
Document Number: L16000140111
FEI/EIN Number 81-3399652
Address: 1323 W. FLETCHER AVE., SUITE A, TAMPA, FL 33612
Mail Address: 1323 W. FLETCHER AVE., SUITE A, TAMPA, FL 33612
ZIP code: 33612
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689187189 2017-11-07 2017-12-26 1323 W FLETCHER AVE STE A, TAMPA, FL, 336123310, US 1323 W FLETCHER AVE STE A, TAMPA, FL, 336123310, US

Contacts

Phone +1 813-968-4293
Fax 8139683182

Authorized person

Name TOMMY MICHAEL LANE
Role OWNER
Phone 8139684293

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes
Taxonomy Code 225100000X - Physical Therapist
Is Primary No

Agent

Name Role Address
LANE, THOMAS Agent 1323 W. FLETCHER AVE., TAMPA, FL 33612

Authorized Representative

Name Role Address
LANE, THOMAS Authorized Representative 1323 W. FLETCHER AVE., TAMPA, FL 33612 UN

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-04-29 No data No data
CHANGE OF PRINCIPAL ADDRESS 2017-10-16 1323 W. FLETCHER AVE., SUITE A, TAMPA, FL 33612 No data
CHANGE OF MAILING ADDRESS 2017-10-16 1323 W. FLETCHER AVE., SUITE A, TAMPA, FL 33612 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-04-29
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-16
Florida Limited Liability 2016-07-26

Date of last update: 19 Jan 2025

Sources: Florida Department of State