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LARGO WELLNESS PRIMARY CARE LLC

Company Details

Entity Name: LARGO WELLNESS PRIMARY CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 06 Sep 2017 (7 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: L17000189392
FEI/EIN Number 82-2720779
Address: 415 7TH AVE SW, LARGO, FL, 33770, US
Mail Address: 415 7TH AVE SW, LARGO, FL, 33770, US
ZIP code: 33770
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245759596 2017-09-18 2018-09-26 415 7TH AVE SW, LARGO, FL, 337703400, US 415 7TH AVE SW, LARGO, FL, 337703400, US

Contacts

Phone +1 727-501-1040

Authorized person

Name MICKORIA SMITH
Role CHIEF OPERATING OFFICER
Phone 5614207501

Taxonomy

Taxonomy Code 363LP2300X - Primary Care Nurse Practitioner
Is Primary Yes

Agent

Name Role
CORPORATE CREATIONS NETWORK INC. Agent

Manager

Name Role Address
LARGO WELLNESS Manager 415 7TH AVE SW, LARGO, FL, 33770

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-02-05 415 7TH AVE SW, LARGO, FL 33770 No data
CHANGE OF MAILING ADDRESS 2018-02-05 415 7TH AVE SW, LARGO, FL 33770 No data

Documents

Name Date
ANNUAL REPORT 2018-02-05
Florida Limited Liability 2017-09-06

Date of last update: 01 Feb 2025

Sources: Florida Department of State