| Entity Name: | MARS LEGACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Oct 2017 (7 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: | L17000223337 |
| FEI/EIN Number | 82-3233515 |
| Address: | 3729 S NOVA RD, PORT ORANGE, FL, 32129, US |
| Mail Address: | 230 E. MARKS ST, ORLANDO, FL, 32803, US |
| ZIP code: | 32129 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619489762 | 2017-10-30 | 2018-02-21 | 230 E MARKS ST, ORLANDO, FL, 328033819, US | 230 E MARKS ST, ORLANDO, FL, 328033819, US | |||||||||||||||||||||||||
|
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| Phone | +1 407-203-1222 |
| Fax | 4072031223 |
Authorized person
| Name | MICHELLE CHAMBERS |
| Role | OWNER |
| Phone | 4072031222 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10386 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1881975803 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHAMBERS MICHELLE | Agent | 230 E. MARKS ST, ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| CHAMBERS MICHELLE L | Manager | 230 E. MARKS ST, ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| CHAMBERS MARTHA L | Authorized Person | 4344 CANDLEWOOD LANE, PONCE INLET, FL, 32127 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000121376 | LEGACY CHIROPRACTIC | EXPIRED | 2017-11-03 | 2022-12-31 | No data | 5154 CONWAY RD, ORLANDO, FL, 32812 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-20 | 3729 S NOVA RD, PORT ORANGE, FL 32129 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-20 | 230 E. MARKS ST, ORLANDO, FL 32803 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-20 | 3729 S NOVA RD, PORT ORANGE, FL 32129 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-20 |
| Florida Limited Liability | 2017-10-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
