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ACUPUNCTURE CLINIC OF FWB LLC - Florida Company Profile

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Company Details

Entity Name: ACUPUNCTURE CLINIC OF FWB LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Jan 2022 (4 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
City: Fort Walton Beach
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

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
MOSELEY SHERRY Agent 102 OAKHILL AVE, FT WALTON BEACH, FL, 32547

National Provider Identifier

NPI Number:
1710626452
Certification Date:
2022-06-27

Authorized Person:

Name:
XU NAN XIANG
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
171100000X - Acupuncturist
Is Primary:
Yes

Contacts:

Fax:
8509997585

Fictitious Names

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 - 51 BEAL PKWY NE, FT WALTON BEACH, FL, 32548

Documents

Name Date
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-03-10
Florida Limited Liability 2022-01-19

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Date of last update: 01 Aug 2025

Sources: Florida Department of State