| Entity Name: | HEALTH & GLOW PRIMARY CARE & MED SPA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Dec 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Sep 2021 (3 years ago) |
| Document Number: | L17000254872 |
| FEI/EIN Number | 82-3695764 |
| Address: | 4331 S MANHATTAN AVENUE, TAMPA, FL, 33611, US |
| Mail Address: | 4331 S Manhattan Ave, TAMPA, FL, 33611, US |
| ZIP code: | 33611 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912519224 | 2020-08-18 | 2023-09-06 | 4331 S MANHATTAN AVE, TAMPA, FL, 33611, US | 4331 S MANHATTAN AVE, TAMPA, FL, 33611, US | |||||||||||||||
|
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| Phone | +1 813-832-4569 |
| Fax | 8339742491 |
Authorized person
| Name | SWAPNA KALLIKADAN |
| Role | OWNER |
| Phone | 8138324569 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KALLIKADAN JIMMY | Agent | 3410 W VASCONIA STREET, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| KALLIKADAN JIMMY | Authorized Member | 3410 W VASCONIA STREET, TAMPA, FL, 33629 |
| KALLIKADAN SWAPNA | Authorized Member | 3410 W VASCONIA STREET, TAMPA, FL, 33629 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000097438 | HEALTH + GLOW - PRIMARY CARE AND MED SPA | ACTIVE | 2020-08-05 | 2025-12-31 | No data | 3410 W. VASCONIA ST., TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-09-30 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-09-30 | 4331 S MANHATTAN AVENUE, TAMPA, FL 33611 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-09-30 | KALLIKADAN, JIMMY | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-17 | 4331 S MANHATTAN AVENUE, TAMPA, FL 33611 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-04-28 |
| REINSTATEMENT | 2021-09-30 |
| ANNUAL REPORT | 2020-04-17 |
| ANNUAL REPORT | 2019-04-18 |
| Florida Limited Liability | 2017-12-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
