| Entity Name: | XTREME NATURAL BODY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
XTREME NATURAL BODY 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 26 May 2021 (4 years ago) |
| Date of dissolution: | 27 Sep 2024 (7 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (7 months ago) |
| Document Number: | L21000245687 |
| FEI/EIN Number |
NOT APPLICABLE
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 534 Park Avenue Suite 6, ORANGE PARK, FL, 32073, US |
| Mail Address: | 534 Park Avenue Suite 6, ORANGE PARK, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376260190 | 2022-10-24 | 2023-03-21 | 534 PARK AVE STE 6, ORANGE PARK, FL, 320733109, US | 534 PARK AVE STE 6, ORANGE PARK, FL, 320733109, US | |||||||||||||||||||||||||||||
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| Phone | +1 904-999-1363 |
| Fax | 9049664006 |
| Phone | +1 443-846-9100 |
Authorized person
| Name | MRS. YVONNE MARIE GOOD |
| Role | APRN / OWNER |
| Phone | 4438469100 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1316240716 |
| State | FL |
| Issuer | LICENSE NUMBER |
| Number | 9432176 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GOOD YVONNE M | Agent | 3673 BRAEDEN COURT, MIDDLEBURG, FL, 32068 |
| Good Yvonne M | ARNP | 534 Park Avenue Suite 6, ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| CHANGE OF MAILING ADDRESS | 2023-03-15 | 534 Park Avenue Suite 6, ORANGE PARK, FL 32073 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-13 | 534 Park Avenue Suite 6, ORANGE PARK, FL 32073 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-07-28 |
| Florida Limited Liability | 2021-05-26 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
