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REVITALIZING LIFESTYLE MEDICINE LLC - Florida Company Profile

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Company Details

Entity Name: REVITALIZING LIFESTYLE MEDICINE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

REVITALIZING LIFESTYLE MEDICINE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 25 Feb 2021 (4 years ago)
Document Number: L21000093710
FEI/EIN Number 863170574

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 111 E. Monument Ave. Suite 324, KISSIMMEE, FL, 34741, US
Mail Address: 111 E. Monument Ave. Suite 324, KISSIMMEE, FL, 34741, US
ZIP code: 34741
City: Kissimmee
County: Osceola
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MCGOWAN MICHAEL Managing Member 100 EAST DAKIN AVENUE, KISSIMMEE, FL, 34741
BARRETT BRENT Manager 100 EAST DAKIN AVENUE, KISSIMMEE, FL, 34741
BROWNING MICHAEL Manager 100 EAST DAKIN AVENUE, KISSIMMEE, FL, 34741
DESAI TUSHAAR Agent 1916 EAST ROBINSON STREET, ORLANDO, FL, 32803

National Provider Identifier

NPI Number:
1598542763
Certification Date:
2023-11-13

Authorized Person:

Name:
MICHAEL MCGOWAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
3213199730

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-08-11 111 E. Monument Ave. Suite 324, KISSIMMEE, FL 34741 -
CHANGE OF MAILING ADDRESS 2023-08-11 111 E. Monument Ave. Suite 324, KISSIMMEE, FL 34741 -

Documents

Name Date
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-02-03
ANNUAL REPORT 2022-03-01
Florida Limited Liability 2021-02-25

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Date of last update: 01 Jul 2025

Sources: Florida Department of State