| Entity Name: | OAKLAND PARK WELLNESS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
OAKLAND PARK WELLNESS CENTER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 16 Apr 2019 (6 years ago) |
| Date of dissolution: | 25 Jan 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Jan 2022 (3 years ago) |
| Document Number: | L19000103893 |
| FEI/EIN Number |
83-4528965
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3857 POWERLINE ROAD, OAKLAND PARK, FL 33309 |
| Mail Address: | 3857 POWERLINE ROAD, OAKLAND PARK, FL 33309 |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811529530 | 2020-02-11 | 2020-02-11 | 3857 POWERLINE RD, OAKLAND PARK, FL, 333095067, US | 3857 POWERLINE RD, OAKLAND PARK, FL, 333095067, US | |||||||||||||||||||||||||
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| Phone | +1 954-635-2900 |
Authorized person
| Name | KIMBERLY KODZIK |
| Role | CO-OWNER |
| Phone | 9543095736 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1073654281 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1316344484 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KODZIK, KIMBERLY | Agent | 1930 NW 38TH STREET, OAKLAND PARK, FL 33309 |
| KODZIK, KIMBERLY | Authorized Representative | 1930 NW 38TH ST, OAKLAND PARK, FL 33309 |
| TERCHA, ERICA | Authorized Representative | 2050 NE 54TH ST, FORT LAUDERDALE, FL 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-01-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-18 | 3857 POWERLINE ROAD, OAKLAND PARK, FL 33309 | - |
| CHANGE OF MAILING ADDRESS | 2020-05-18 | 3857 POWERLINE ROAD, OAKLAND PARK, FL 33309 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-01-25 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-05-18 |
| Florida Limited Liability | 2019-04-16 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
