| Entity Name: | EASTERN ACUPUNCTURE WILTON MANORS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Jan 2022 (3 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Oct 2023 (a year ago) |
| Document Number: | L22000030122 |
| FEI/EIN Number | 87-4282555 |
| Mail Address: | 13224 W BROWARD BLVD, PLANTATION, FL 33325 |
| Address: | 1201 N.E. 26 TH ST., #106, WILTON MANORS, FL 33305 |
| ZIP code: | 33305 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316608714 | 2022-01-07 | 2022-01-07 | 13224 W BROWARD BLVD, PLANTATION, FL, 333252228, US | 1201 NE 26TH ST STE 106, WILTON MANORS, FL, 333051206, US | |||||||||||||||||||||||
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| Phone | +1 954-400-5504 |
| Fax | 9544005503 |
| Phone | +1 954-400-5044 |
Authorized person
| Name | JENNIFER CRUZ |
| Role | PHYSICIAN |
| Phone | 9544005044 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ACUPUNCTURIST |
| Number | 1235397910 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CRUZ, JENNIFER | Agent | 13224 W BROWARD BLVD, PLANTATION, FL 33325 |
| Name | Role | Address |
|---|---|---|
| CRUZ, JENNIFER | Manager | 13224 W BROWARD BLVD, PLANTATION, FL 33325 |
| ACUWORKS LLC | Manager | No data |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-10-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-10-03 | CRUZ, JENNIFER | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-10-03 | 13224 W BROWARD BLVD, PLANTATION, FL 33325 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-10 |
| REINSTATEMENT | 2023-10-03 |
| Florida Limited Liability | 2022-01-14 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
