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MCC WELLNESS GROUP, LLC.

Company Details

Entity Name: MCC WELLNESS GROUP, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Aug 2021 (4 years ago)
Document Number: L21000347888
FEI/EIN Number 87-1962191
Address: 6120 Winkler Road, Fort Myers, FL, 33919, US
Mail Address: 130 Eucalyptus Court, Fort Myers Beach, FL, 33931, US
ZIP code: 33919
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205507456 2021-09-27 2021-09-27 6120 WINKLER RD STE G, FORT MYERS, FL, 339198192, US 6120 WINKLER RD STE G, FORT MYERS, FL, 339198192, US

Contacts

Phone +1 239-270-5863

Authorized person

Name ALEXA VALDES
Role CEO
Phone 2392705863

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
VALDES ALEXA M Agent 130 Eucalyptus Court, Fort Myers Beach, FL, 33931

Manager

Name Role Address
VALDES ALEXA M Manager 10880 SW 68 DRIVE, MIAMI, FL, 33173

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000092813 REVIVAL BEAUTY AND HYDRATION BAR ACTIVE 2024-08-05 2029-12-31 No data 6120 WINKLER ROAD, SUITE G, FT MYERS, FL, 33919

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-02 6120 Winkler Road, Suite G, Fort Myers, FL 33919 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-02 130 Eucalyptus Court, Fort Myers Beach, FL 33931 No data
CHANGE OF PRINCIPAL ADDRESS 2023-01-30 6120 Winkler Road, Suite G, Fort Myers, FL 33919 No data

Documents

Name Date
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-02-15
Florida Limited Liability 2021-08-02

Date of last update: 02 Feb 2025

Sources: Florida Department of State