| Entity Name: | BIOMECHANICS WELLNESS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Oct 2016 (8 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: | L16000196370 |
| FEI/EIN Number | 814220464 |
| Address: | 150 E. Bloomingdale Ave, Brandon, FL, 33511, US |
| Mail Address: | 150 E. Bloomingdale Ave, Brandon, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225543648 | 2017-12-07 | 2017-12-07 | 2803 FRUITVILLE RD STE 130, SARASOTA, FL, 342375367, US | 2803 FRUITVILLE RD STE 130, SARASOTA, FL, 342375367, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 941-281-5451 |
Authorized person
| Name | MR. TIM BEKKERING |
| Role | AMBR |
| Phone | 9413233870 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1578937405 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1598116741 |
| State | FL |
| Issuer | MEDICAID |
| Number | 18513217 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1982803441 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1043734031 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1619906294 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1790012201 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BEKKERING TIMOTHY J | Agent | 5316 MANG PL, SARASOTA, FL, 34238 |
| Name | Role | Address |
|---|---|---|
| BEKKERING TIMOTHY J | Authorized Member | 5316 MANG PL, SARASOTA, FL, 34238 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-10 | 150 E. Bloomingdale Ave, SUITE 160, Brandon, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-10 | 150 E. Bloomingdale Ave, SUITE 160, Brandon, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-01-03 |
| Florida Limited Liability | 2016-10-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
