| Entity Name: | ACUPUNCTURE CLINIC OF FWB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jan 2022 (3 years ago) |
| Document Number: | L22000088273 |
| FEI/EIN Number | 88-1009459 |
| Address: | 51 BEAL PKWY NE, FT WALTON BEACH, FL, 32548 |
| Mail Address: | 51 BEAL PKWY NE, FT WALTON BEACH, FL, 32548 |
| ZIP code: | 32548 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710626452 | 2022-06-01 | 2022-06-27 | 51 BEAL PKWY NE, FORT WALTON BEACH, FL, 325484819, US | 51 BEAL PKWY NE, FORT WALTON BEACH, FL, 325484819, US | |||||||||||||||
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| Phone | +1 850-864-1688 |
| Fax | 8509997585 |
Authorized person
| Name | XU NAN XIANG |
| Role | OWNER/PROVIDER |
| Phone | 8508641688 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOSELEY SHERRY | Agent | 102 OAKHILL AVE, FT WALTON BEACH, FL, 32547 |
| Name | Role | Address |
|---|---|---|
| WANG BIN | Manager | 2402 PALM HARBOR DR, FT WALTON BEACH, FL, 32547 |
| XIANG XU NAN | Manager | 2402 PALM HARBOR DR, FT WALTON BEACH, FL, 32547 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000036449 | CHINESE ACUPUNCTURE AND HERBAL CLINIC | ACTIVE | 2022-03-21 | 2027-12-31 | No data | 51 BEAL PKWY NE, FT WALTON BEACH, FL, 32548 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-03-10 |
| Florida Limited Liability | 2022-01-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
