Entity Name: | LUTZ HEALTH AND WELLNESS LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 11 Jun 2018 (7 years ago) |
Date of dissolution: | 12 Feb 2019 (6 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 12 Feb 2019 (6 years ago) |
Document Number: | L18000143634 |
Address: | 3026 SW 4TH PLACE, CAPE CORAL, FL, 33914, US |
Mail Address: | 3026 SW 4TH PLACE, CAPE CORAL, FL, 33914, US |
ZIP code: | 33914 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1225515422 | 2018-07-20 | 2018-07-20 | 3026 SW 4TH PL, CAPE CORAL, FL, 339144595, US | 1611 SANTA BARBARA BLVD STE 170, CAPE CORAL, FL, 339913448, US | |||||||||||||||||||||
|
Phone | +1 239-772-2266 |
Authorized person
Name | DR. DAVID ROBERT LUTZ |
Role | OWNER |
Phone | 5023869385 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
License Number | CH12511 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | INDIVIDUAL NPI |
Number | 1245276302 |
Name | Role | Address |
---|---|---|
LUTZ DAVID | Agent | 3026 SW 4TH PLACE, CAPE CORAL, FL, 33914 |
Name | Role | Address |
---|---|---|
LUTZ KRISTIE L | Authorized Member | 3026 SW 4TH PLACE, CAPE CORAL, FL, 33914 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2019-02-12 | No data | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2019-02-12 |
Florida Limited Liability | 2018-06-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State