| Entity Name: | WHOLISTIC MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Aug 2016 (8 years ago) |
| Document Number: | L16000166169 |
| FEI/EIN Number | 81-3686675 |
| Address: | 2102 S. Macdill Ave, Ste D, Tampa, FL, 33629, US |
| Mail Address: | 109 w genesee St, tampa, FL, 33603, US |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023560109 | 2016-10-25 | 2016-10-25 | 1016 E COLUMBUS DR, TAMPA, FL, 336053333, US | 3965 HENDERSON BLVD, TAMPA, FL, 336295023, US | |||||||||||||||||||
|
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| Phone | +1 860-933-2155 |
| Phone | +1 813-444-3946 |
Authorized person
| Name | DR. RYAN DUKE MANSELL |
| Role | OWNER |
| Phone | 8609332155 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP3763 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RYAN DUKE MANSELL | Agent | 109 w genesee St, tampa, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| Mansell Ryan DDr. | Manager | 109 W Genesee St, Tampa, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| Gago Natalia | Authorized Member | 109 w genesee St, tampa, FL, 33603 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-20 | 2102 S. Macdill Ave, Ste D, Tampa, FL 33629 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-20 | 2102 S. Macdill Ave, Ste D, Tampa, FL 33629 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-20 | 109 w genesee St, tampa, FL 33603 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-20 |
| ANNUAL REPORT | 2023-02-12 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-09-05 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-03-21 |
| Florida Limited Liability | 2016-08-31 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
