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 |
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 | |||||||||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
DAVIS, EBONY | Agent | 4621 CAPITAL DR, LAKE WORTH, FL 33463 |
Name | Role | Address |
---|---|---|
CLEARMINDER PA | Authorized Member | 2713 YARMOUTH DR, WELLINGTON, FL 33414 |
CLOSED-MINDED INC. | Authorized Member | No data |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
Name | Date |
---|---|
Florida Limited Liability | 2019-04-08 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State