| Entity Name: | FULTON GIBBS WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jul 2019 (6 years ago) |
| Document Number: | L19000186815 |
| FEI/EIN Number | 84-2597016 |
| Address: | 9191 R G Skinner Pkwy, Unit 901, JACKSONVILLE, FL, 32256, US |
| Mail Address: | 9191 R G Skinner Pkwy, Unit 901, JACKSONVILLE, FL, 32256, US |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780232207 | 2019-08-28 | 2019-08-28 | 731 DUVAL STATION RD STE 107-204, JACKSONVILLE, FL, 322180800, US | 8825 PERIMETER PARK BLVD STE 102, JACKSONVILLE, FL, 322161127, US | |||||||||||||||
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| Phone | +1 904-454-4937 |
| Fax | 9042931325 |
Authorized person
| Name | MRS. ELIZABETH G BAGAN |
| Role | PRESIDENT |
| Phone | 9044544937 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BAGAN ELIZABETH G | Agent | 9191 R G Skinner Pkwy, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| BAGAN ELIZABETH | President | 14675 STARRATT CREEK DR., JACKSONVILLE, FL, 32226 |
| Name | Role | Address |
|---|---|---|
| BAGAN THOMAS | Vice President | 14675 STARRATT CREEK DR., JACKSONVILLE, FL, 32226 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-12-01 | 9191 R G Skinner Pkwy, Unit 901, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 2023-12-01 | 9191 R G Skinner Pkwy, Unit 901, JACKSONVILLE, FL 32256 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-12-01 | 9191 R G Skinner Pkwy, Unit 901, JACKSONVILLE, FL 32256 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| AMENDED ANNUAL REPORT | 2023-12-01 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-05-03 |
| ANNUAL REPORT | 2020-06-29 |
| Florida Limited Liability | 2019-07-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
