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MINDFUL EYE WELLNESS LLC

Company Details

Entity Name: MINDFUL EYE WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 27 Aug 2021 (3 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L21000384794
Address: 1645 PALM BEACH LAKES BLVD, 440, WEST PALM BEACH, FL 33401
Mail Address: 1080 SW FENWAY RD, PORT SAINT LUCIE, FL 34953
ZIP code: 33401
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497407480 2022-01-21 2022-03-15 1080 SW FENWAY RD, PORT SAINT LUCIE, FL, 349532303, US 1645 PALM BEACH LAKES BLVD STE 440, WEST PALM BEACH, FL, 334012217, US

Contacts

Phone +1 561-313-2807
Phone +1 561-463-4200
Fax 5614690720

Authorized person

Name MRS. SUSAN LYNCH PHILCOX
Role APRN
Phone 5613132807

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
PHILCOX, SUSAN Agent 1080 SW FENWAY RD, PORT SAINT LUCIE, FL 34953

Authorized Member

Name Role Address
PHILCOX, SUSAN Authorized Member 1080 SW FENWAY RD, PORT SAINT LUCIE, FL 34953

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
Florida Limited Liability 2021-08-27

Date of last update: 13 Feb 2025

Sources: Florida Department of State