| Entity Name: | CRESTVIEW HEALTH AND WELLNESS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CRESTVIEW HEALTH AND WELLNESS CENTER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 09 May 2017 (8 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 29 Jan 2018 (7 years ago) |
| Document Number: | L17000102699 |
| FEI/EIN Number |
82-1578035
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 596 N FERDON BLVD, CRESTVIEW, FL, 32536, US |
| Mail Address: | 596 N FERDON BLVD, CRESTVIEW, FL, 32536, US |
| ZIP code: | 32536 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811425002 | 2017-06-01 | 2024-05-27 | 596 N FERDON BLVD, CRESTVIEW, FL, 325362753, US | 596 N FERDON BLVD, CRESTVIEW, FL, 325362753, US | |||||||||||||||||||||
|
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| Phone | +1 850-384-4123 |
Authorized person
| Name | DR. DAVID SCOTT RAWSON |
| Role | PRESIDENT |
| Phone | 8503063268 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LW0102X - Women's Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RAWSON DAVID | Manager | 596 N FERDON BLVD, CRESTVIEW, FL, 32536 |
| Rawson Jaclyn | Auth | 596 N FERDON BLVD, CRESTVIEW, FL, 32536 |
| RAWSON DAVID | Agent | 596 N FERDON BLVD, CRESTVIEW, FL, 32536 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-01-30 | RAWSON, DAVID | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-30 | 596 N FERDON BLVD, CRESTVIEW, FL 32536 | - |
| LC AMENDMENT AND NAME CHANGE | 2018-01-29 | CRESTVIEW HEALTH AND WELLNESS CENTER, LLC | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-29 | 596 N FERDON BLVD, CRESTVIEW, FL 32536 | - |
| CHANGE OF MAILING ADDRESS | 2018-01-29 | 596 N FERDON BLVD, CRESTVIEW, FL 32536 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-06 |
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-02-13 |
| LC Amendment and Name Change | 2018-01-29 |
| Florida Limited Liability | 2017-05-09 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
