| Entity Name: | GENTLE STICKS ON WHEELS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Apr 2021 (4 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L21000154789 |
| FEI/EIN Number | 86-3337129 |
| Address: | 1829 FOREST GLEN DR, FRUITLAND PARK, FL, 34731, US |
| Mail Address: | 1829 FOREST GLEN DR, FRUITLAND PARK, FL, 34731, US |
| ZIP code: | 34731 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184397713 | 2021-07-29 | 2021-09-13 | 1829 FOREST GLEN DR, FRUITLAND PARK, FL, 347316565, US | 1829 FOREST GLEN DR, FRUITLAND PARK, FL, 347316565, US | |||||||||||||||||||||||
|
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| Phone | +1 352-431-1193 |
Authorized person
| Name | ALYSHA PETTIS |
| Role | OWNER |
| Phone | 3524311193 |
Taxonomy
| Taxonomy Code | 246R00000X - Pathology Technician |
| Is Primary | No |
| Taxonomy Code | 374700000X - Technician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1942884846 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PETTIS ALYSHA | Agent | 130B SHENANDOAH AVE, LADY LAKE, FL, 32159 |
| Name | Role | Address |
|---|---|---|
| Pettis Alysha B | Foun | 130 Shenandoah Avenue, Lady Lake, FL, 32159 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-09-10 |
| Florida Limited Liability | 2021-04-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
