| Entity Name: | LIVE GRACEFULLY PHYSIO AND WELLNESS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 May 2020 (5 years ago) |
| Document Number: | L20000133467 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 6740 shadow creek trail, MELBOURNE, FL, 32940, US |
| Mail Address: | 6740 shadow creek trail, MELBOURNE, FL, 32940, US |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568089431 | 2020-06-26 | 2020-06-26 | 6470 SHADOW CREEK TRAIL, APT 5204, MELBOURNE, FL, 32940, US | 6470 SHADOW CREEK TRAIL, APT 5204, MELBOURNE, FL, 32940, US | |||||||||||||
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| Phone | +1 814-322-7476 |
Authorized person
| Name | ELISE PEARCE |
| Role | PHYSICAL THERAPIST |
| Phone | 8143227476 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| PEARCE ELISE J | Authorized Member | 6740 shadow creek trail, MELBOURNE, FL, 32940 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000040143 | SPACE COAST IN MOTION | ACTIVE | 2022-03-29 | 2027-12-31 | No data | 6740 SHADOW CREEK TRL., MELBOURNE, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-07 | 6740 shadow creek trail, Apartment 5204, MELBOURNE, FL 32940 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-07 | 6740 shadow creek trail, Apartment 5204, MELBOURNE, FL 32940 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-07-29 |
| Florida Limited Liability | 2020-05-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
