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INTEGRATIVE WELLNESS CENTER OF JACKSONVILLE, LLC

Company Details

Entity Name: INTEGRATIVE WELLNESS CENTER OF JACKSONVILLE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Oct 2019 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 08 Oct 2020 (4 years ago)
Document Number: L19000270627
FEI/EIN Number 84-3678326
Address: 1153 Beach Blvd, Jacksonville Beach, FL, 32250, US
Mail Address: 1153 Beach Blvd, Jacksonville Beach, FL, 32250, US
ZIP code: 32250
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881232114 2019-12-17 2022-05-26 1153 BEACH BLVD, JACKSONVILLE BEACH, FL, 322503445, US 1153 BEACH BLVD, JACKSONVILLE BEACH, FL, 322503445, US

Contacts

Phone +1 904-800-5588
Fax 9048005588

Authorized person

Name MELISSA LEVY
Role ACUPUNCTURE PHYSICIAN/ OWNER
Phone 9048005588

Taxonomy

Taxonomy Code 171100000X - Acupuncturist
Is Primary Yes

Agent

Name Role Address
LEVY MELISSA Agent 1153 Beach Blvd, Jacksonville Beach, FL, 32250

Dr

Name Role Address
LEVY MELISSA Dr 1153 Beach Blvd, Jacksonville Beach, FL, 32250

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000076734 WELLNESSWAY ACTIVE 2022-06-26 2027-12-31 No data 1153 BEACH BLVD, JACKSONVILLE BEACH, FL, 32250

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-03-14 1153 Beach Blvd, Jacksonville Beach, FL 32250 No data
CHANGE OF MAILING ADDRESS 2023-03-14 1153 Beach Blvd, Jacksonville Beach, FL 32250 No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-14 1153 Beach Blvd, Jacksonville Beach, FL 32250 No data
REINSTATEMENT 2020-10-08 No data No data
REGISTERED AGENT NAME CHANGED 2020-10-08 LEVY, MELISSA No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-02-11
ANNUAL REPORT 2021-02-04
REINSTATEMENT 2020-10-08
Florida Limited Liability 2019-10-29

Date of last update: 02 Feb 2025

Sources: Florida Department of State