| Entity Name: | THE LIFESTYLE CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Jul 2021 (4 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L21000328862 |
| FEI/EIN Number | 61-2001407 |
| Address: | 10935 SE 177th PL, SUITE 201, SUMMERFIELD, FL, 34491, US |
| Mail Address: | 10935 SE 177th PL, SUITE 201, SUMMERFIELD, FL, 34491, US |
| ZIP code: | 34491 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861278467 | 2023-09-07 | 2023-09-07 | 10935 SE 177TH PL STE 201, SUMMERFIELD, FL, 344918971, US | 10935 SE 177TH PL STE 201, SUMMERFIELD, FL, 344918971, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 352-693-2681 |
Authorized person
| Name | MR. ANDERSON CARLOS GONCALVES |
| Role | ACUPUNCTURE PHYSCIAN - OWNER |
| Phone | 3526932681 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONCALVES ANDERSON C | Agent | 10935 SE 177th PL, SUMMERFIELD, FL, 34491 |
| Name | Role | Address |
|---|---|---|
| GONCALVES ANDERSON C | Authorized Member | 10935 SE 177th PL, SUMMERFIELD, FL, 34491 |
| SOSVIANIN ANDREA C | Authorized Member | 10935 SE 177th PL, SUMMERFIELD, FL, 34491 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000023467 | LIFESTYLE INTEGRATIVE GERIATRICS | ACTIVE | 2023-02-19 | 2028-12-31 | No data | 10935 SE 177TH PL SUITE 201, SUMMERFIELD, FL, 34491 |
| G21000112456 | LIFESTYLE MEDICAL SPA | ACTIVE | 2021-08-31 | 2026-12-31 | No data | 201 SE 15TH TER STE 201, DEERFIELD BEACH, FL, 33441 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-27 | 10935 SE 177th PL, SUITE 201, SUMMERFIELD, FL 34491 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-27 | 10935 SE 177th PL, SUITE 201, SUMMERFIELD, FL 34491 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 10935 SE 177th PL, SUITE 201, SUMMERFIELD, FL 34491 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-26 |
| Florida Limited Liability | 2021-07-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
