| Entity Name: | FUSION HEALTH & WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 Jun 2017 (8 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L17000141486 |
| FEI/EIN Number | 82-2038698 |
| Address: | 1164 E OAKLAND PARK BLVD, SUITE 102, OAKLAND PARK, FL, 33334, US |
| Mail Address: | 1164 E OAKLAND PARK BLVD, SUITE 102, OAKLAND PARK, FL, 33334, US |
| ZIP code: | 33334 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1245755644 | 2017-08-07 | 2022-07-21 | 1164 E OAKLAND PARK BLVD STE 102, OAKLAND PARK, FL, 333342709, US | 1164 E OAKLAND PARK BLVD STE 102, OAKLAND PARK, FL, 33334, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-900-5635 |
| Fax | 9549907292 |
Authorized person
| Name | LAUREN ELIZABETH LIRA |
| Role | COO |
| Phone | 9549005635 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 133NN1002X - Nutrition Education Nutritionist |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | No |
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | No |
| Taxonomy Code | 173000000X - Legal Medicine |
| Is Primary | No |
| Taxonomy Code | 204R00000X - Electrodiagnostic Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225700000X - Massage Therapist |
| Is Primary | No |
| Taxonomy Code | 2278P1005X - Pulmonary Rehabilitation Certified Respiratory Therapist |
| Is Primary | No |
| Taxonomy Code | 405300000X - Prevention Professional |
| Is Primary | No |
| Name | Role |
|---|---|
| THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| ROBINSON KEITH | Manager | 1164 E OAKLAND PARK BLVD SUITE 102, OAKLAND PARK, FL, 33334 |
| LIRA LAUREN | Manager | 1164 E OAKLAND PARK BLVD SUITE 102, OAKLAND PARK, FL, 33334 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| Florida Limited Liability | 2017-06-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
