| Entity Name: | MINDFUL MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MINDFUL 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: | 16 Mar 2021 (4 years ago) |
| Document Number: | L21000123353 |
| FEI/EIN Number |
863294520
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7000 W Palmetto Park Road, Boca Raton, FL, 33433, US |
| Mail Address: | 7000 W Palmetto Park Road, Boca Raton, FL, 33433, US |
| ZIP code: | 33433 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063170124 | 2021-12-06 | 2022-12-12 | 7000 W PALMETTO PARK RD STE 406, BOCA RATON, FL, 334333425, US | 7000 W PALMETTO PARK RD STE 406, BOCA RATON, FL, 334333425, US | |||||||||||||||||
|
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| Phone | +1 844-986-4325 |
Authorized person
| Name | DR. BARRY DAVID PESKIN |
| Role | CEO/ MEDICAL DIRECTOR |
| Phone | 2169732844 |
Taxonomy
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| CIK number | Mailing Address | Business Address | Phone | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1884686 | 9820 VITRAIL LANE, DELRAY BEACH, FL, 33446 | 8200 SOUTH STATE ROAD 7, BOYNTON BEACH, FL, 33472 | 2169732844 | |||||||||
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| Form type | D |
| File number | 021-415189 |
| Filing date | 2021-09-30 |
| File | View File |
| Name | Role | Address |
|---|---|---|
| PESKIN DOREEN T | Manager | 7000 W Palmetto Park Road, Boca Raton, FL, 33433 |
| PESKIN DOREEN T | Agent | 7000 W Palmetto Park Road, Boca Raton, FL, 33433 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000090662 | SANCTUARY HEALTHCARE | ACTIVE | 2022-08-02 | 2027-12-31 | - | 7000 WEST PALMETTO PARK ROAD, SUITE 406, BOCA RATON, FL, 33433 |
| G21000093889 | SANCTUARY PSYCHEDELICS | ACTIVE | 2021-07-20 | 2026-12-31 | - | 10831 REDLAKE ISLE, BOYNTON BEACH, FL, 33473 |
| G21000086082 | MINDFUL PSYCHEDELICS | ACTIVE | 2021-06-29 | 2026-12-31 | - | 10831 REDLAKE ISLE, BOYNTON BEACH, FL, 33473 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-21 | 7000 W Palmetto Park Road, Suite 406, Boca Raton, FL 33433 | - |
| CHANGE OF MAILING ADDRESS | 2024-02-21 | 7000 W Palmetto Park Road, Suite 406, Boca Raton, FL 33433 | - |
| REGISTERED AGENT NAME CHANGED | 2024-02-21 | PESKIN, DOREEN T | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-21 | 7000 W Palmetto Park Road, Suite 406, Boca Raton, FL 33433 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| AMENDED ANNUAL REPORT | 2023-06-20 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-03 |
| Florida Limited Liability | 2021-03-16 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
