| Entity Name: | FOUNTAIN LIFE ORLANDO LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Jan 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 14 May 2024 (9 months ago) |
| Document Number: | L22000086828 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 13495 Veterans Way, ORLANDO, FL, 32827, US |
| Mail Address: | 13495 VETERANS WAY, SUITE 330, ORLANDO, FL, 32827, US |
| ZIP code: | 32827 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699455956 | 2023-07-21 | 2023-07-21 | 6424 ALEXANDRA LOUISE DR STE 120, ORLANDO, FL, 328275812, US | 6424 ALEXANDRA LOUISE DR STE 120, ORLANDO, FL, 328275812, US | |||||||||||||
|
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| Phone | +1 917-810-8672 |
Authorized person
| Name | MRS. BARBARA WOO |
| Role | DIRECTOR OF CLINICAL OPERATIONS |
| Phone | 4077251516 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| FOUNTAIN LIFE SERVICES, LLC | Manager |
| Name | Role | Address |
|---|---|---|
| Norton Jeffrey J | Chie | 13495 Veterans Way, ORLANDO, FL, 32827 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-22 | 13495 Veterans Way, SUITE 330, ORLANDO, FL 32827 | No data |
| LC AMENDMENT | 2024-05-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-05-14 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-14 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 13495 Veterans Way, SUITE 330, ORLANDO, FL 32827 | No data |
| LC STMNT OF RA/RO CHG | 2022-11-18 | No data | No data |
| LC AMENDMENT | 2022-03-04 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-05-22 |
| LC Amendment | 2024-05-14 |
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-01-31 |
| CORLCRACHG | 2022-11-18 |
| LC Amendment | 2022-03-04 |
| Florida Limited Liability | 2022-01-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
