| Entity Name: | MOBILE WOUNDDR, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Dec 2021 (3 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Jan 2024 (a year ago) |
| Document Number: | L21000524997 |
| FEI/EIN Number | 87-4002947 |
| Address: | 955 Minnesota Avenue, Winter Park, FL 32789 |
| Mail Address: | 955 Minnesota Avenue, Winter Park, FL 32789 |
| ZIP code: | 32789 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174251078 | 2022-08-10 | 2024-04-12 | 955 MINNESOTA AVE, WINTER PARK, FL, 327894926, US | 955 MINNESOTA AVE, WINTER PARK, FL, 327894926, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 248-915-8986 |
Authorized person
| Name | DR. CHANNA WILLIAMS |
| Role | CEO |
| Phone | 2489158986 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 213E00000X - Podiatrist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, CHANNA | Agent | 955 Minnesota Avenue, Winter Park, FL 32789 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, CHANNA | Authorized Member | 955 Minnesota Avenue, Winter Park, FL 32789 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-01-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-08 | WILLIAMS, CHANNA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-08-01 | 955 Minnesota Avenue, Winter Park, FL 32789 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-25 | 955 Minnesota Avenue, Winter Park, FL 32789 | No data |
| CHANGE OF MAILING ADDRESS | 2022-07-25 | 955 Minnesota Avenue, Winter Park, FL 32789 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-01-08 |
| ANNUAL REPORT | 2022-08-01 |
| Florida Limited Liability | 2021-12-13 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
