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LWC LAKE WORTH PLLC

Company Details

Entity Name: LWC LAKE WORTH PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 28 Jun 2018 (7 years ago)
Date of dissolution: 27 Sep 2024 (5 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (5 months ago)
Document Number: L18000158955
FEI/EIN Number 83-0855160
Address: 5817 LAKE WORTH RD, GREEN ACRES, FL 33463
Mail Address: 14844 SW 38TH ST, DAVIE, FL 33331
ZIP code: 33463
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871089789 2018-07-03 2018-07-03 4470 WESTON RD, DAVIE, FL, 333313194, US 5817 LAKE WORTH RD, GREENACRES, FL, 334633209, US

Contacts

Phone +1 561-642-9500

Authorized person

Name DR. JOHN MOORE
Role CHIROPRACTOR
Phone 9543843275

Taxonomy

Taxonomy Code 273Y00000X - Rehabilitation Hospital Unit
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 006433700
State FL

Agent

Name Role
MOORE -JOHN- INC Agent

Manager

Name Role
MOORE -JOHN- INC Manager

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000077428 LIVE WELL CHIROPRACTIC EXPIRED 2018-07-17 2023-12-31 No data 14844 SW 38TH ST, DAVIE, FL, 33331

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2023-07-12
ANNUAL REPORT 2022-04-17
ANNUAL REPORT 2021-02-09
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-05-07
Florida Limited Liability 2018-06-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6407157101 2020-04-14 0455 PPP 14844 SW 38TH ST, FORT LAUDERDALE, FL, 33331
Loan Status Date 2021-06-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 32500
Loan Approval Amount (current) 33500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 464999
Servicing Lender Name BankUnited, National Association
Servicing Lender Address 14817 Oak Lane, MIAMI LAKES, FL, 33016-1517
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address FORT LAUDERDALE, BROWARD, FL, 33331-2748
Project Congressional District FL-25
Number of Employees 4
NAICS code 621310
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 464999
Originating Lender Name BankUnited, National Association
Originating Lender Address MIAMI LAKES, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 33862.92
Forgiveness Paid Date 2021-05-20
3312448508 2021-02-23 0455 PPS 5817 Lake Worth Rd, Greenacres, FL, 33463-3209
Loan Status Date 2022-01-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 32678
Loan Approval Amount (current) 32678
Undisbursed Amount 0
Franchise Name -
Lender Location ID 464999
Servicing Lender Name BankUnited, National Association
Servicing Lender Address 14817 Oak Lane, MIAMI LAKES, FL, 33016-1517
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Greenacres, PALM BEACH, FL, 33463-3209
Project Congressional District FL-22
Number of Employees 5
NAICS code 621310
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 464999
Originating Lender Name BankUnited, National Association
Originating Lender Address MIAMI LAKES, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 32937.61
Forgiveness Paid Date 2021-12-08

Date of last update: 17 Feb 2025

Sources: Florida Department of State