| Entity Name: | PALUMBO WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Sep 2020 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Apr 2022 (3 years ago) |
| Document Number: | L20000293569 |
| FEI/EIN Number | 85-3318363 |
| Address: | 26236 US HWY 19 N, CLEARWATER, FL, 33761 |
| Mail Address: | 26236 US HIGHWAY 19, NEW PORT RICHEY, FL, 34652, US |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881295798 | 2020-11-06 | 2020-11-06 | 26236 US HIGHWAY 19 N, CLEARWATER, FL, 337613580, US | 26236 US HIGHWAY 19 N, CLEARWATER, FL, 337613580, US | |||||||||||||||||||
|
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| Phone | +1 727-953-3599 |
| Fax | 7279536808 |
Authorized person
| Name | BRIAN PALUMBO |
| Role | PHYSICIAN |
| Phone | 7274390961 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207QB0002X - Obesity Medicine (Family Medicine) Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| MAKRIS LEGAL, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| PALUMBO BRIAN T | Manager | 3406 W LINEBAUGH AVE, TAMPA, FL, 33618 |
| BALKCOM NICOLE | Manager | 2920 GRIDIRON ISLE, NEW PORT RICHEY, FL, 34655 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-07-17 | 26236 US HWY 19 N, CLEARWATER, FL 33761 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-07-17 | MAKRIS LEGAL, P.A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-07-17 | 4617 US HIGHWAY 19, NEW PORT RICHEY, FL 34652 | No data |
| REINSTATEMENT | 2022-04-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-07-17 |
| REINSTATEMENT | 2022-04-27 |
| Florida Limited Liability | 2020-09-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
