| 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. |
| 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 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598542763 | 2023-09-12 | 2023-11-13 | 111 E MONUMENT AVE UNIT 324, KISSIMMEE, FL, 347415771, US | 111 E MONUMENT AVE UNIT 324, KISSIMMEE, FL, 347415771, US | |||||||||||||||
|
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| Phone | +1 321-442-0192 |
| Fax | 3213199730 |
Authorized person
| Name | MICHAEL MCGOWAN |
| Role | OWNER |
| Phone | 3214420192 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| 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 |
| 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 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-03-01 |
| Florida Limited Liability | 2021-02-25 |
Date of last update: 01 May 2025
Sources: Florida Department of State
