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PALUMBO WELLNESS, LLC - Florida Company Profile

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Company Details

Entity Name: PALUMBO WELLNESS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Sep 2020 (5 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
City: Clearwater
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

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
- Agent -

National Provider Identifier

NPI Number:
1881295798
Certification Date:
2020-11-06

Authorized Person:

Name:
BRIAN PALUMBO
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207QB0002X - Obesity Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7279536808

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-07-17 26236 US HWY 19 N, CLEARWATER, FL 33761 -
REGISTERED AGENT NAME CHANGED 2023-07-17 MAKRIS LEGAL, P.A. -
REGISTERED AGENT ADDRESS CHANGED 2023-07-17 4617 US HIGHWAY 19, NEW PORT RICHEY, FL 34652 -
REINSTATEMENT 2022-04-27 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -

Documents

Name Date
ANNUAL REPORT 2024-01-18
ANNUAL REPORT 2023-07-17
REINSTATEMENT 2022-04-27
Florida Limited Liability 2020-09-18

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Date of last update: 03 Jul 2025

Sources: Florida Department of State