| Entity Name: | DREAM TEAM WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jan 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 13 Oct 2023 (a year ago) |
| Document Number: | L22000038590 |
| FEI/EIN Number | 87-4827036 |
| Address: | 863 E. Park Avenue, Tallahassee, FL, 32301, US |
| Mail Address: | 857 E. Park Avenue, Tallahassee, FL, 32301, US |
| ZIP code: | 32301 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285311431 | 2023-06-29 | 2023-10-22 | 857 E PARK AVE, TALLAHASSEE, FL, 323012620, US | 857 E PARK AVE, TALLAHASSEE, FL, 323012620, US | |||||||||||||||
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| Phone | +1 850-765-9923 |
| Fax | 9043399322 |
Authorized person
| Name | DR. TIMOTHY WOODFIN WALKER |
| Role | PRESIDENT |
| Phone | 8509046767 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Walker Hannah | Auth | 7901 4th St N STE 300, St. Petersburg, FL, 33702 |
| Walker Timothy | Auth | 7901 4th St N STE 300, St. Petersburg, FL, 33702 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000020014 | SQUARE ONE AESTHETICS & WELLNESS | ACTIVE | 2022-02-17 | 2027-12-31 | No data | 857 EAST PARK AVENUE, TALLAHASSEE, FL, 32301 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-22 | 863 E. Park Avenue, Tallahassee, FL 32301 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-02 | 863 E. Park Avenue, Tallahassee, FL 32301 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-02 | 7901 4th St N, STE 300, St. Petersburg, FL 33702 | No data |
| LC AMENDMENT | 2023-10-13 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| LC Amendment | 2023-10-13 |
| ANNUAL REPORT | 2023-02-08 |
| Florida Limited Liability | 2022-01-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
