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WALK-IN WELLNESS CENTER PLLC

Company Details

Entity Name: WALK-IN WELLNESS CENTER PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 08 Apr 2019 (6 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: L19000095484
Address: 4621 CAPITAL DR, LAKE WORTH, FL 33463
Mail Address: 4621 CAPITAL DR, LAKE WORTH, FL 33463
ZIP code: 33463
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245791631 2019-03-27 2020-07-24 6801 LAKE WORTH RD STE 213-214, GREENACRES, FL, 334672955, US 1645 PALM BEACH LAKES BLVD STE 1200, WEST PALM BEACH, FL, 334012214, US

Contacts

Phone +1 561-444-2351
Phone +1 561-207-2047

Authorized person

Name EBONY DAVIS
Role CEO
Phone 2052005110

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes
Taxonomy Code 2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary No
Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary No

Agent

Name Role Address
DAVIS, EBONY Agent 4621 CAPITAL DR, LAKE WORTH, FL 33463

Authorized Member

Name Role Address
CLEARMINDER PA Authorized Member 2713 YARMOUTH DR, WELLINGTON, FL 33414
CLOSED-MINDED INC. Authorized Member No data

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data

Documents

Name Date
Florida Limited Liability 2019-04-08

Date of last update: 17 Jan 2025

Sources: Florida Department of State