| Entity Name: | CROSSROADS WELLNESS GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 10 Oct 2017 (7 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L17000209187 |
| FEI/EIN Number | 82-3031646 |
| Address: | 11571 NW 20 Court, Plantation, FL 33323 |
| Mail Address: | 11571 NW 20 Court, Plantation, FL 33323 |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538675004 | 2017-12-20 | 2019-10-30 | 11571 NW 20TH CT, PLANTATION, FL, 333232007, US | 4200 SW 54TH CT, FORT LAUDERDALE, FL, 333146726, US | |||||||||||||||||||||
|
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| Phone | +1 954-999-3458 |
Authorized person
| Name | DR. JASON LUCAS |
| Role | OWNER |
| Phone | 9549993458 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10147 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LUCAS, JASON L, Dr. | Agent | 11571 NW 20 Court, Plantation, FL 33323 |
| Name | Role | Address |
|---|---|---|
| Lucas, Candace | Authorized Person | 11571 NW 20 Court, Plantation, FL 33323 |
| Lucas, JASON | Authorized Person | 11571 NW 20 TH Court, Plantation, FL 33323 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2019-10-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-04 | LUCAS, JASON L, Dr. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-09-16 | 11571 NW 20 Court, Plantation, FL 33323 | No data |
| CHANGE OF MAILING ADDRESS | 2018-09-16 | 11571 NW 20 Court, Plantation, FL 33323 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-09-16 | 11571 NW 20 Court, Plantation, FL 33323 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-05-01 |
| REINSTATEMENT | 2019-10-04 |
| ANNUAL REPORT | 2018-09-16 |
| Florida Limited Liability | 2017-10-10 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
