| Entity Name: | PURPOSELY EVOLVING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Nov 2021 (3 years ago) |
| Document Number: | L21000477527 |
| FEI/EIN Number | 87-3471072 |
| Address: | 1810 S PINELLAS AVE, UNIT B, TARPON SPRINGS, FL 34689 |
| Mail Address: | 1810 S PINELLAS AVE, UNIT B, TARPON SPRINGS, FL 34689 |
| ZIP code: | 34689 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609582782 | 2023-01-23 | 2023-08-09 | 1810 S PINELLAS AVE STE B, TARPON SPRINGS, FL, 346891989, US | 1810 S PINELLAS AVE STE B, TARPON SPRINGS, FL, 346891989, US | |||||||||||||||||||||||||||
|
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| Phone | +1 727-937-6060 |
| Fax | 7279376030 |
Authorized person
| Name | DOMINIQUE PASCHAL |
| Role | OWNER |
| Phone | 7279376060 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1083178040 |
| State | FL |
| Issuer | NPI |
| Number | 1013086917 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PASCHAL, DOMINIQUE | Agent | 1810 S PINELLAS AVE, UNIT B, TARPON SPRINGS, FL 34689 |
| Name | Role | Address |
|---|---|---|
| PASCHAL, DOMINIQUE | Manager | 1810 S PINELLAS AVE, UNIT B TARPON SPRINGS, FL 34689 |
| PASCHAL, MARCUS | Manager | 1810 S PINELLAS AVE, UNIT B TARPON SPRINGS, FL 34689 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000032135 | PURPOSELY EVOLVING ACADEMY | ACTIVE | 2023-03-09 | 2028-12-31 | No data | 1810 S. PINELLAS AVE, SUITE B, TARPON SPRINGS, FL, 34689 |
| G23000007921 | PURPOSELY EVOLVING MEDICAL CLINIC | ACTIVE | 2023-01-18 | 2028-12-31 | No data | 1810 S. PINELLAS AVE, SUITE B, TARPON SPRINGS, FL, 34689 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-19 | 1810 S PINELLAS AVE, UNIT B, TARPON SPRINGS, FL 34689 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-18 | 1810 S PINELLAS AVE, UNIT B, TARPON SPRINGS, FL 34689 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-18 | 1810 S PINELLAS AVE, UNIT B, TARPON SPRINGS, FL 34689 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-09 |
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-02-26 |
| Florida Limited Liability | 2021-11-04 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
