| Entity Name: | CARLISA FAMILY MEDICAL AND AESTHETICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jan 2022 (3 years ago) |
| Document Number: | L22000089233 |
| FEI/EIN Number | 88-1474983 |
| Address: | 660 CHARLOTTE ST, Punta Gorda, FL 33982 |
| Mail Address: | 2301 MANGROVE RD., PUNTA GORDA, FL 33982 |
| ZIP code: | 33982 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871236166 | 2022-04-15 | 2022-04-15 | 2301 MANGROVE RD, PUNTA GORDA, FL, 339823339, US | 4409 SUN N LAKE BLVD STE F, SEBRING, FL, 338722170, US | |||||||||||||
|
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| Phone | +1 615-772-5480 |
Authorized person
| Name | MRS. LISA ANN MOTTELER |
| Role | OWNER |
| Phone | 6157725480 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Motteler, Lisa | Agent | 2301 MANGROVE RD, PUNTA GORDA, FL., FL 33982 |
| Name | Role | Address |
|---|---|---|
| MOTTELER, CARL C | Manager | 2301 MANGROVE RD, PUNTA GORDA, FL 33982 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-17 | 660 CHARLOTTE ST, Punta Gorda, FL 33982 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-05 | Motteler, Lisa | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-29 |
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-03-28 |
| Florida Limited Liability | 2022-01-24 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
