| Entity Name: | INTEGRATIVE WELLNESS CENTERS OF PORT CHARLOTTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Mar 2021 (4 years ago) |
| Document Number: | L21000131315 |
| FEI/EIN Number | 86-3225436 |
| Address: | 301 W. BAY STREET, SUITE 14152, JACKSONVILLE, FL, 32202, US |
| Mail Address: | 301 W. BAY STREET, SUITE 14152, JACKSONVILLE, FL, 32202, US |
| ZIP code: | 32202 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487329348 | 2021-08-12 | 2023-01-24 | 4535 TAMIAMI TRL, PORT CHARLOTTE, FL, 339802930, US | 4535 TAMIAMI TRL, PORT CHARLOTTE, FL, 339802930, US | |||||||||||||||
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| Phone | +1 941-625-2667 |
| Fax | 9413159922 |
Authorized person
| Name | LILLIAN TERESA PALMER |
| Role | AO |
| Phone | 9416615425 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MUSTARI JEFFREY ESQ. | Agent | 301 W. BAY STREET, JACKSONVILLE, FL, 32202 |
| Name | Role | Address |
|---|---|---|
| HARMON MELISSA | Authorized Member | 3524 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000077405 | INTEGRATIVE WELLNESS CENTERS | ACTIVE | 2021-06-09 | 2026-12-31 | No data | 4535 TAMIAMI TRAIL, PUNTA GORDA, FL, 33980 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-07-15 |
| Florida Limited Liability | 2021-03-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
